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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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 1083683791 NPPES
Illinois Other 2232501 BCBSIL

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