Sussan, Ava

Sussan, Ava is an individual health care provider with primary practice located at 3759 W 95Th St Suite 3, Evergreen Park IL 60805-2000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sussan, Ava can be contacted via phone (866) 296-5262.

Contact Information

Primary practice address
3759 W 95Th St Suite 3 Evergreen Park IL 60805-2000
Phone: (866) 296-5262
Fax: (708) 636-6852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149008560 Illinois

Profile Details

NPI number 1710268131
LBN Legal business name Sussan, Ava
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2011
Last updated Aug 30th, 2011 - about 14 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.

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