Provider Demographics
NPI:1285280883
Name:EUDY, CYNTHIA SUAREZ (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:SUAREZ
Last Name:EUDY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-2005
Mailing Address - Country:US
Mailing Address - Phone:773-502-8653
Mailing Address - Fax:
Practice Address - Street 1:4711 W. GOLF
Practice Address - Street 2:400
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1058
Practice Address - Country:US
Practice Address - Phone:847-920-8653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-11
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0198731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical