Provider Demographics
NPI:1023291762
Name:CABRAL, SUELY ANN
Entity type:Individual
Prefix:
First Name:SUELY
Middle Name:ANN
Last Name:CABRAL
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 1:353 BERWICK DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-4403
Mailing Address - Country:US
Mailing Address - Phone:630-906-7318
Mailing Address - Fax:630-566-0926
Practice Address - Street 1:353 BERWICK DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-4403
Practice Address - Country:US
Practice Address - Phone:630-906-7318
Practice Address - Fax:630-566-0926
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter