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Individual

ELISA L SUCHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
990 ELK GROVE TOWN CTR, ELK GROVE VILLAGE, IL 60007
(847) 290-1111
(847) 290-1065
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016617
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1619980
BCBS OF IL
IL
Enumeration date
09/12/2008
Last updated
08/28/2018
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