Provider Demographics
NPI:1609335264
Name:GUNASEKARAN, SUVAI
Entity Type:Individual
Prefix:
First Name:SUVAI
Middle Name:
Last Name:GUNASEKARAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 N DEWITT PL APT 15K
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-7322
Mailing Address - Country:US
Mailing Address - Phone:608-692-5127
Mailing Address - Fax:
Practice Address - Street 1:737 N MICHIGAN AVE STE 1600
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-6652
Practice Address - Country:US
Practice Address - Phone:608-692-5127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor