Search › Illinois › 1041C0700X
Susan Trudeau, LCSW
NPI 1780975011 · on the registry since 2011 · sole proprietor
Practice
- Address
- 4822 N Broadway St
2nd Floor
Chicago, IL 60640 - Phone
- (773) 433-1253
- Fax
- (773) 271-8810
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois