Deva Suckerman
Professional Counselor
140 Harrison St #ge
Oak Park
, Illinois 60304-1600
Deva Suckerman
Professional Counselor
140 Harrison St #ge
Oak Park
, Illinois 60304-1600
(312) 492-9058
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Deva Suckerman
- 140 Harrison St #ge
- Oak Park, IL
- Zip : 60304-1600
- Fax : (312) 492-9058
- Phone : (312) 399-7143
Second Address
- Deva Suckerman
- 140 Harrison St #ge
- Oak Park, IL
- Zip : 60304-1600
- Fax : (312) 492-9058
- Phone : (312) 399-7143
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | IL |
National Provider Identifier
| NPI | 1003093261 |
|---|---|
| Provider Name | Deva Suckerman |
| First Address | Oak Park, IL 60304-1600 |
| Second Address | Oak Park, IL 60304-1600 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2008 |
| Last Update Date | 29/01/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.