Provider Demographics
NPI:1154596013
Name:SUSAN B ANDREWS & ASSOCIATES
Entity type:Organization
Organization Name:SUSAN B ANDREWS & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:630-355-7008
Mailing Address - Street 1:43 E JEFFERSON AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-4905
Mailing Address - Country:US
Mailing Address - Phone:630-355-7008
Mailing Address - Fax:630-305-7720
Practice Address - Street 1:43 E JEFFERSON AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-4905
Practice Address - Country:US
Practice Address - Phone:630-355-7008
Practice Address - Fax:630-305-7720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-001980251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health