| Reasons Health, Pllc | |
|
333 Commerce Dr Crystal Lake IL 60014-3539 | |
| (815) 404-0595 | |
| Not Available |
| Full Name | Reasons Health, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 333 Commerce Dr, Crystal Lake, Illinois |
| Authorized Official Name and Position | Tracey Odishoo (OWNER) |
| Authorized Official Contact | 7793564095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reasons Health, Pllc 333 Commerce Dr Ste 600 Crystal Lake IL 60014-3598 Ph: (779) 356-4095 | Reasons Health, Pllc 333 Commerce Dr Crystal Lake IL 60014-3539 Ph: (815) 404-0595 |
| NPI Number | 1174387195 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Medicare PECOS PAC ID | 7618314378 |
|---|---|
| Medicare Enrollment ID | O20240318002860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174387195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Tracey Ann Odishoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942209622 PECOS PAC ID: 1557347879 Enrollment ID: I20040628000636 |
| Provider Name | Valerie D Milborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992704662 PECOS PAC ID: 2163479791 Enrollment ID: I20050405001095 |
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