Provider Demographics
NPI:1154408565
Name:KRZYZEK, SUZANNE MARIE (LCPC)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:MARIE
Last Name:KRZYZEK
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 E HILLCREST DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DEKALB
Mailing Address - State:IL
Mailing Address - Zip Code:60115-2498
Mailing Address - Country:US
Mailing Address - Phone:815-754-5727
Mailing Address - Fax:815-754-0027
Practice Address - Street 1:444 E HILLCREST DR
Practice Address - Street 2:SUITE 210
Practice Address - City:DEKALB
Practice Address - State:IL
Practice Address - Zip Code:60115-2498
Practice Address - Country:US
Practice Address - Phone:815-754-5727
Practice Address - Fax:815-754-0027
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional