Individual
MS. SUZANNE PARWANNEH BOLUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 N LASALLE ST, CHICAGO, IL 60614-6005
(312) 943-3600
Mailing address
772 E PENNSYLVANIA DR APT 6, PALATINE, IL 60074-1984
(630) 699-3496
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
217.000263
IL
Other
Enumeration date
10/29/2011
Last updated
10/31/2011
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