Organization
SUZANNE GASS LCSW, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE GASS (PRESIDENT)
(773) 490-9643
Entity
Organization
Contact information
Practice address
5100 N RAVENSWOOD AVE # 203, CHICAGO, IL 60640-1710
(773) 490-9643
Mailing address
2539 HURD AVE, EVANSTON, IL 60201-1205
(773) 490-9643
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149010414
IL
Other
Enumeration date
04/11/2008
Last updated
05/18/2016
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