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MS. MARY SUSAN FIDALE LCPC, RNC
NPI 1023467420
Counselor - Professional in Long Grove, IL

Active since June 07, 2016
4160 RT 83 SUITE 206, LONG GROVE, IL 60047(847) 217-6190 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Mary Susan Fidale Lcpc, Rnc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY SUSAN FIDALE LCPC, RNC (NPI 1023467420) is an individual professional provider in Long Grove, Illinois, licensed in Illinois (180.003182) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1023467420
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. MARY SUSAN FIDALECredential: LCPC, RNC
Location Address4160 RT 83 SUITE 206Long Grove, IL 60047-9585
Mailing AddressPo Box 681281Schaumburg, IL 60168-1281 · (847) 217-6190
Phone(847) 217-6190
Sole ProprietorYes
Enumeration DateJune 7, 2016
✔ NPI 1023467420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.003182
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.211850 (IL)
4160 RT 83 SUITE 206, Long Grove, IL 60047
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Susan Fidale's NPI number?

The NPI number for Mary Susan Fidale is 1023467420. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Mary Susan Fidale located?

Mary Susan Fidale practices at 4160 Rt 83 Suite 206, Long Grove, IL 60047. The listed phone number is (847) 217-6190.

What is Mary Susan Fidale's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mary Susan Fidale was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.