Rush-Drake, Suzette
Rush-Drake, Suzette is an individual health care provider with primary practice located at 1441 Branding Ave Ste 310 , Downers Grove IL 60515-5624. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rush-Drake, Suzette can be contacted via phone (630) 829-1038.Contact Information
Primary practice address
1441 Branding Ave Ste 310
Downers Grove IL 60515-5624
Phone: (630) 829-1038
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 071004832 | Illinois |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 20040839A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 20901005 | Illinois |
Profile Details
| NPI number | 1285712208 |
|---|---|
| LBN Legal business name | Rush-Drake, Suzette |
| Credentials | FNP-BC, PSY. D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Apr 28th, 2022 - about 4 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 | 1285712208 | NPPES |
| Other | 620004459 | RR MEDICARE | |
| Other | 01606295 | RR MEDICARE |
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