NPI 1003093261

Deva Suckerman, LCPC

Practitioner Professional Counselor Oak Park, IL

Practice location

Address: 140 Harrison St #ge, Oak Park, IL 60304-1600
Phone: (312) 399-7143
Fax: (312) 492-9058
Mailing address: 2418 W Bloomingdale Ave APT 206, Chicago, IL 60647-4366

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 180004444 (IL)

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Registry record

NPI: 1003093261
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2008
Record last updated: 29 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.