Search › Illinois › 103K00000X
Nicolette Susralski, MA
NPI 1821846874 · on the registry since 2024
Practice
- Address
- 16086 Harlem Ave
Tinley Park, IL 60477 - Phone
- (815) 469-1500
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-12
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