| Claire L Brown Lcsw Pc | |
|
350 E Congress Pkwy Suite L Crystal Lake IL 60014-6284 | |
| (815) 477-4024 | |
| (815) 356-7139 |
| Full Name | Claire L Brown Lcsw Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 350 E Congress Pkwy, Crystal Lake, Illinois |
| Authorized Official Name and Position | Claire Loiuse Brown (THERAPIST) |
| Authorized Official Contact | 8154774024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Claire L Brown Lcsw Pc 350 E. Congress Suite L Crystal Lake IL 60014-6284 Ph: (815) 477-4024 | Claire L Brown Lcsw Pc 350 E Congress Pkwy Suite L Crystal Lake IL 60014-6284 Ph: (815) 477-4024 |
| NPI Number | 1811445679 |
|---|---|
| Provider Enumeration Date | 09/21/2016 |
| Last Update Date | 09/21/2016 |
| Medicare PECOS PAC ID | 6507144029 |
|---|---|
| Medicare Enrollment ID | O20161103000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811445679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149.002685 (Illinois) | Primary |
| Provider Name | Clara L Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366535064 PECOS PAC ID: 0345204608 Enrollment ID: I20041116000848 |
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