Feczko, Susan

Feczko, Susan is an individual health care provider with primary practice located at 1010 N Hooker St Ste 301 , Chicago IL 60642-4633. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Feczko, Susan can be contacted via phone (312) 943-3600.

Contact Information

Primary practice address
1010 N Hooker St Ste 301 Chicago IL 60642-4633
Phone: (312) 943-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 217000074 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1043344211
LBN Legal business name Feczko, Susan
Credentials STA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Aug 6th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043344211 NPPES
Illinois MEDICAID 103034

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