Provider Demographics
NPI:1760973770
Name:SUAREZ, ASTREA LISETTE (BA, BA, MA, PSYD)
Entity Type:Individual
Prefix:DR
First Name:ASTREA
Middle Name:LISETTE
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:BA, BA, MA, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5650 S KEELER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629-4820
Mailing Address - Country:US
Mailing Address - Phone:773-387-1758
Mailing Address - Fax:
Practice Address - Street 1:120 E OGDEN AVE STE 220
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3546
Practice Address - Country:US
Practice Address - Phone:630-325-5300
Practice Address - Fax:630-325-5309
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-24
Last Update Date:2022-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor