Susan Thompson is a Professional in Evanston, Illinois. Susan Thompson practices all healthcare services and medical treatments related to Professional. The NPI Number for Susan Thompson is 1295917953. The last update date is 2012-12-10.
Susan Thompson's current location address is 2550 Crawford Ave, Evanston, Illinois. You can contact this provider via phone number 7739608359. The mailing address for Susan Thompson is 2550 Crawford Ave, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Thompson |
|---|---|
| Address | 2550 Crawford Ave, Evanston, Illinois |
| Phone Number | 7739608359 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MA,LCPC,AT |
NPI Number Detail
| NPI Number | 1295917953 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2012-12-10 |
Provider Mailing Address Detail
| Address | 2550 Crawford Ave |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602014900 |
| Phone Number | 7739608359 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 180000932 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103637507 | UBH | ||
| 1634445 | BCBSIL |
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What is the unique 10-digit identifier code issued to Susan Thompson by the Centers for Medicare & Medicaid Services?
The Susan Thompson has been assigned the NPI (National Provider Identifier) 1295917953 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Susan Thompson?
The Susan Thompson is physically situated at 2550 Crawford Ave, in the city of Evanston, state of IL, with the postal code 602014900.
What is Susan Thompson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan Thompson is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.
On what date did the Susan Thompson receive its 1295917953 assignment from the Centers for Medicare & Medicaid Services?
The Susan Thompson was assigned its 1295917953 by the Centers for Medicare & Medicaid Services on 2007-12-04.
As of what date were the Susan Thompson's details last updated?
The information pertaining to the Susan Thompson, including its address, specialty, and other details, was most recently updated on 2012-12-10.
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