| Coco Health Management, Llc | |
|
800 Elgin Rd Apt 1515 Evanston IL 60201-5630 | |
| (224) 307-6915 | |
| Not Available |
| Full Name | Coco Health Management, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 800 Elgin Rd Apt 1515, Evanston, Illinois |
| Authorized Official Name and Position | Daniela Vosti (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2243076915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coco Health Management, Llc 800 Elgin Rd Apt 1515 Evanston IL 60201-5630 Ph: (224) 307-6915 | Coco Health Management, Llc 800 Elgin Rd Apt 1515 Evanston IL 60201-5630 Ph: (224) 307-6915 |
| NPI Number | 1871070243 |
|---|---|
| Provider Enumeration Date | 07/27/2018 |
| Last Update Date | 07/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871070243 | NPI | - | NPPES |
| 1134590649 | Other | TYPE I NPI | |
| 149.019984 | Other | IL | LCSW |
| 14199014 | Other | IL | CAHQ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.019984 (Illinois) | Primary |
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