| Susan J. Coe, Phd., P.c. | |
|
800 S Mchenry Ave Suite B Crystal Lake IL 60014-7487 | |
| (815) 245-7400 | |
| (815) 455-0592 |
| Full Name | Susan J. Coe, Phd., P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 800 S Mchenry Ave, Crystal Lake, Illinois |
| Authorized Official Name and Position | Susan J Coe (PRESIDENT) |
| Authorized Official Contact | 8158457400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan J. Coe, Phd., P.c. 800 S Mchenry Ave Suite B Crystal Lake IL 60014-7487 Ph: (815) 245-7400 | Susan J. Coe, Phd., P.c. 800 S Mchenry Ave Suite B Crystal Lake IL 60014-7487 Ph: (815) 245-7400 |
| NPI Number | 1427585181 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 05/12/2017 |
| Medicare PECOS PAC ID | 3678842713 |
|---|---|
| Medicare Enrollment ID | O20170706000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427585181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149003539 (Illinois) | Primary |
| Provider Name | Susan J Coe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134131550 PECOS PAC ID: 0840236683 Enrollment ID: I20050706000373 |
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