Individual
SUSAN E PANITCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
655 ROCKLAND RD, SUITE 210, LAKE BLUFF, IL 60044-1782
(847) 615-9445
(847) 735-0815
Mailing address
655 ROCKLAND RD, SUITE 210, LAKE BLUFF, IL 60044-1780
(847) 615-9445
(847) 735-0815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
101YM0800X
Mental Health Counselor
—
IL
101YP2500X
Professional Counselor
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4926888
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/30/2006
Last updated
09/11/2025
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