Individual
MS. NICHOLE MARIE SUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
1855 W TAYLOR ST # B-46, CHICAGO, IL 60612-7242
(312) 996-6520
Mailing address
1855 W TAYLOR ST # B-46, CHICAGO, IL 60612-7242
(312) 996-6520
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001151
IL
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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