Organization
COCO HEALTH MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA VOSTI LCSW (CLINICAL DIRECTOR)
(224) 307-6915
Entity
Organization
Contact information
Practice address
800 ELGIN RD APT 1515, EVANSTON, IL 60201-5630
(224) 307-6915
Mailing address
800 ELGIN RD APT 1515, EVANSTON, IL 60201-5630
(224) 307-6915
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.019984
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134590649
TYPE I NPI
—
01
—
14199014
CAHQ
IL
01
—
149.019984
LCSW
IL
Enumeration date
07/27/2018
Last updated
07/27/2018
Update your record
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