Search › Illinois › 103TC0700X
Susan Longley
NPI 1376015396 · on the registry since 2019 · sole proprietor
Practice
- Address
- 851 Washington Blvd Apt A2
Oak Park, IL 60302 - Phone
- (708) 955-3934
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- NY, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-02
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