Provider Demographics
NPI:1265652119
Name:ZUREK, SUSAN (MA)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:ZUREK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 S WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:ITASCA
Mailing Address - State:IL
Mailing Address - Zip Code:60143-2139
Mailing Address - Country:US
Mailing Address - Phone:630-250-1449
Mailing Address - Fax:630-250-0058
Practice Address - Street 1:443 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:ITASCA
Practice Address - State:IL
Practice Address - Zip Code:60143-2139
Practice Address - Country:US
Practice Address - Phone:630-250-1449
Practice Address - Fax:630-250-0058
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist