| Catherine Corbett Lcsw Llc | |
|
10 W Phillip Rd Suite 107 Vernon Hills IL 60061-1799 | |
| (847) 918-0146 | |
| (847) 918-0747 |
| Full Name | Catherine Corbett Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10 W Phillip Rd, Vernon Hills, Illinois |
| Authorized Official Name and Position | Catherine A Corbett (OWNER) |
| Authorized Official Contact | 8479180146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Corbett Lcsw Llc 245 Dunton Ct Mundelein IL 60060-4550 Ph: (847) 918-0146 | Catherine Corbett Lcsw Llc 10 W Phillip Rd Suite 107 Vernon Hills IL 60061-1799 Ph: (847) 918-0146 |
| NPI Number | 1356609721 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 04/24/2012 |
| Medicare PECOS PAC ID | 3779746391 |
|---|---|
| Medicare Enrollment ID | O20120518000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356609721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149-009441 (Illinois) | Primary |
| Provider Name | Catherine Mary Corbett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124196837 PECOS PAC ID: 4688837206 Enrollment ID: I20120518000134 |
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