Individual
MRS. DIANE KATHERINE COMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, RN
Contact information
Practice address
100 NORTH WALKUP AVENUE, SUITE C, CRYSTAL LAKE, IL 60014
(815) 243-4092
Mailing address
1444 CANDLEWOOD DR, CRYSTAL LAKE, IL 60014
(815) 243-4092
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
IL
163W00000X
Registered Nurse
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265512
COMPSYCH
IL
01
—
4532309
BLUE CROSS
IL
01
—
7094743
AETNA
IL
Enumeration date
08/29/2006
Last updated
09/11/2025
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