Organization
DISABILITY MANAGEMENT NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONSTANCE SUE MARA C.O.H.N.-S, C.C.M. (R.N.)
(815) 262-0442
Entity
Organization
Contact information
Practice address
6723 WEAVER RD., STE. 108, ROCKFORD, IL 61114-8052
(815) 633-0880
(815) 633-4740
Mailing address
6723 WEAVER RD, SUITE 108, ROCKFORD, IL 61114-8052
(815) 633-0880
(815) 633-4740
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
IL
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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