| Doctor Name: | MRS. SUSAN MARIE BLECHSCHMIDT |
| NPI Number: | 1376760314 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., L.C.P.C. |
| License Number: | |
| Business Practice Address: | 1831 Hicks Rd Ste B Rolling Meadows, IL - 600081272 |
| Business Phone Number: | 8479919644 |
| Business Fax Number: | 8479919645 |
| Mailing Address: | 1080 Cardinal Drive, LAKE ZURICH |
| State: | IL |
| Postal Code: | 60047 |
| Phone Number: | 8475501449 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2007 |
| 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: | |