Alexandra Raquel Susi
Counselor (Mental Health)

Address: 4616 N Kenmore Ave, Chicago, IL 60640-7094
Phone: 5615047874

Alexandra Raquel Susi (NPI# 1073150462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1073150462
Entity Type Individual
Full Name Alexandra Raquel Susi
Credential LPC
Gender Female
Practice Address 4616 N Kenmore Ave
Chicago
IL 60640-7094
Practice Telephone 5615047874
Mailing Address 4616 N Kenmore Ave
Chicago
IL 60640-7094
Mailing Telephone 5615047874
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-12-04
Last Update Date 2019-12-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers 178.015198 IL

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Office Location

Street Address 4616 N KENMORE AVE
City CHICAGO
State IL
Zip Code 60640-7094

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306319173 Gerardo Garcia Physician Assistant Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 2019-01-04
1386121283 Aea Optical Ventures, LLC Clinic/Center 4814 N Clark St, Chicago, IL 60640 2018-07-24
1023503885 Lauren Vassiliades Internal Medicine Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 2018-06-25
1477061620 Yesenia Vargas Nurse Practitioner 1025 W Sunnyside, Chicago, IL 60640 2018-01-22
1932622206 Jasleen Kaur Brar Internal Medicine 4646 N. Marine Dr., Chicago, IL 60640 2017-07-19
1386165389 John Michael Thometz Student in an Organized Health Care Education/Training Program 4646 N Marine Dr., Chicago, IL 60640 2017-06-29
1750802849 Umer Mukhtar Internal Medicine 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 2017-06-29
1184144081 Ellie Navidson Registered Nurse 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 2017-06-21
1962932558 Jennifer Stridh Marriage & Family Therapist 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 2017-06-15
1588196083 The Dental Mastrs of Ravenswood LLC Dentist 1945 W. Wilson, Ste # 5117, Chicago, IL 60640 2017-04-03
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Competitor

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City CHICAGO
Zip Code 60640

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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