Susan M Keogh is a Professional in Normal, Illinois. Susan M Keogh practices all healthcare services and medical treatments related to Professional. The NPI Number for Susan M Keogh is 1548348659. The last update date is 2012-06-19.
Susan M Keogh's current location address is 405 Kays Drive, Normal, Illinois. You can contact this provider via phone number 3098620064 and fax number 3098621542. The mailing address for Susan M Keogh is 405 Kays Drive, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M Keogh |
|---|---|
| Address | 405 Kays Drive, Normal, Illinois |
| Phone Number | 3098620064 |
| Fax Number | 3098621542 |
| Sole Proprietor | N |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1548348659 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2012-06-19 |
Provider Mailing Address Detail
| Address | 405 Kays Drive |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 61761 |
| Phone Number | 3098620064 |
| Fax Number | 3098621542 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 180001161 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101694 | HEALTH ALLIANCE | ||
| 5723204 | BCBS | ||
| 202808 | MHN |
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What is the unique 10-digit identifier code issued to Susan M Keogh by the Centers for Medicare & Medicaid Services?
The Susan M Keogh has been assigned the NPI (National Provider Identifier) 1548348659 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Susan M Keogh is located?
The Susan M Keogh is situated at the following address: 405 Kays Drive, Normal, IL, 61761.
What is Susan M Keogh's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan M Keogh's area of specialization is Professional, and the corresponding taxonomy code that categorizes this field of practice is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548348659 to Susan M Keogh?
The Centers for Medicare & Medicaid Services originally issued the 1548348659 to Susan M Keogh on 2006-11-02.
When was the information regarding Susan M Keogh most recently updated?
The details pertaining to the Susan M Keogh, including its address, specialty, and other relevant information, were last refreshed on 2012-06-19.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN