Cook, Sue

Cook, Sue is an individual health care provider with primary practice located at 4711 N Broadway St , Chicago IL 60640-4908. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Acupuncturist, Other Service Providers / Naturopath. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cook, Sue can be contacted via phone (312) 279-9981.

Contact Information

Primary practice address
4711 N Broadway St Chicago IL 60640-4908
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 150105107 Illinois
Other Service Providers / Acupuncturist 171100000X 198.001119 Illinois
Other Service Providers / Naturopath 175F00000X Alabama

Profile Details

NPI number 1942604764
LBN Legal business name Cook, Sue
Credentials L.AC., LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2014
Last updated Feb 20th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942604764 NPPES
Illinois Other 227020981 STATE OF ILLINOIS
Illinois Other 150105107 STATE OF ILLINOIS

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