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Susan Kogan
Mental Health Counselor in Chicago, Illinois
NPI 1952325250

Susan Kogan is a Mental Health Counselor based in Chicago, IL and is specialized in Mental Health. Susan Kogan practices in Chicago, IL. The NPI Number for Susan Kogan is 1952325250 and holds a License No. 180-001774 (Illinois).

The current practice location address for Susan Kogan is 2525 W Peterson Ave, Chicago, IL and can be reached out via phone at 773-765-0594. You can also correspond with Susan Kogan through the mailing address at 2525 W PETERSON AVE, CHICAGO, IL - 60659-4108 (mailing address contact number: ).

Location: 2525 W Peterson Ave, Chicago, IL, 60659-4108
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Provider Profile Details
NPI Number
1952325250
Provider Name
Susan Kogan
Credential
Provider Entity Type
Individual
Gender
Female
Address
2525 W Peterson Ave, Chicago, IL, 60659-4108
Phone Number
773-765-0594
Fax Number
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180.001774 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
2525 W Peterson Ave
City
State
Zip
60659-4108
Phone Number
773-765-0594
Fax Number
person
Provider Business Mailing Address Details
Address
2525 W Peterson Ave
City
State
Zip
60659-4108
Phone Number
773-765-0594
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180-001774 (Illinois)
Definition
Definition to come...
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