| Organization Name: | SUZANNE S. WALKER LLC |
| NPI Number: | 1265754816 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUZANNE WALKER (OWNER) |
| Mailing Address: | 51 Sherwood Ter Ste W Lake Bluff |
| State: | IL US |
| Postal Code: | 600442232 |
| Phone Number: | 8476155450 |
| Fax Number: | 8476151783 |
| NPI Enumeration Date: | 02/24/2010 |
| NPI Last Update Date: | 02/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 13728 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |