Peroutka, Suzanne
Peroutka, Suzanne is an individual health care provider with primary practice located at 29 S Webster St Suite 320, Naperville IL 60540-5356. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Peroutka, Suzanne can be contacted via phone (630) 305-5702.Contact Information
Primary practice address
29 S Webster St Suite 320
Naperville IL 60540-5356
Phone: (630) 305-5702
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Illinois |
Profile Details
| NPI number | 1083683791 |
|---|---|
| LBN Legal business name | Peroutka, Suzanne |
| Credentials | M.S., LCPC, ATR-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083683791 | NPPES |
| Illinois | Other | 2232501 | BCBSIL |
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