Organization
SUSAN M. DUMMER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M. DUMMER (DEVELOPMENTAL THERAPIST)
(847) 767-3370
Entity
Organization
Contact information
Practice address
122 BRAXTON WAY, GRAYSLAKE, IL 60030-3493
(847) 767-3370
(847) 223-0032
Mailing address
122 BRAXTON WAY, GRAYSLAKE, IL 60030-3493
(847) 767-3370
(847) 223-0032
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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