Doctor Name: | MRS. SUZANNE MARIE KRZYZEK |
NPI Number: | 1154408565 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | |
Business Practice Address: | 444 E Hillcrest Dr Suite 210 Dekalb, IL - 601152498 |
Business Phone Number: | 8157545727 |
Business Fax Number: | 8157540027 |
Mailing Address: | 444 E Hillcrest Dr, Suite 210 DEKALB |
State: | IL |
Postal Code: | 601152498 |
Phone Number: | 8157545727 |
Fax Number: | 8157540027 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |