SearchIllinois103K00000X

Susi Santoso

NPI 1225627805 · on the registry since 2021 · sole proprietor

Practice

Address
1005 Alexander Ct Unit D
Cary, IL 60013
Phone
(312) 929-6713
Organisation at this address
Crossing The Spectrum, Llc
Northwest Pediatric Therapy
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois