Phyllis Maack Koch in Romeoville - Clinical
Phyllis Maack Koch - NPI 1629198809
Phyllis Maack Koch is a Clinical in Romeoville, Illinois. Phyllis Maack Koch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Phyllis Maack Koch is 1629198809. The last update date is 2007-07-08.
Phyllis Maack Koch's current location address is 731 S Mecosta Lane, Romeoville, Illinois. You can contact this provider via phone number 7087101000. The mailing address for Phyllis Maack Koch is 731 S Mecosta Lane, Romeoville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Maack Koch |
|---|---|
| Address | 731 S Mecosta Lane, Romeoville, Illinois |
| Phone Number | 7087101000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1629198809 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 731 S Mecosta Lane |
|---|---|
| City | Romeoville |
| State | Illinois (IL) |
| Post Code | 60446 |
| Phone Number | 7087101000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the Phyllis Maack Koch's 1629198809?
The Phyllis Maack Koch's NPI (National Provider Identifier) Number is 1629198809. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Phyllis Maack Koch is geographically located?
The Phyllis Maack Koch is physically situated at the following location: 731 S Mecosta Lane, Romeoville, IL, 60446.
What is Phyllis Maack Koch's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Phyllis Maack Koch's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1629198809 to Phyllis Maack Koch?
The Phyllis Maack Koch received its 1629198809 assignment from the Centers for Medicare & Medicaid Services on 2007-03-30.
As of what date were the details pertaining to Phyllis Maack Koch last refreshed?
The information related to the Phyllis Maack Koch, including its address, specialty, and other relevant details, was last updated on 2007-07-08.