| Susan Koestler Lcsw, Inc. | |
|
1410 Aquarius Cir Ste 2 Ottawa IL 61350-9059 | |
| (815) 587-4952 | |
| Not Available |
| Full Name | Susan Koestler Lcsw, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1410 Aquarius Cir Ste 2, Ottawa, Illinois |
| Authorized Official Name and Position | Susan L Koestler (PRESIDENT) |
| Authorized Official Contact | 8155874952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Koestler Lcsw, Inc. 1410 Aquarius Cir Ste 2 Ottawa IL 61350-9059 Ph: (815) 587-4952 | Susan Koestler Lcsw, Inc. 1410 Aquarius Cir Ste 2 Ottawa IL 61350-9059 Ph: (815) 587-4952 |
| NPI Number | 1164703278 |
|---|---|
| Provider Enumeration Date | 09/01/2011 |
| Last Update Date | 09/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164703278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149009180 (Illinois) | Primary |
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