Comer, Diane Katherine

Comer, Diane Katherine is an individual health care provider with primary practice located at 100 North Walkup Avenue Suite C, Crystal Lake IL 60014. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Comer, Diane Katherine can be contacted via phone (815) 243-4092.

Contact Information

Primary practice address
100 North Walkup Avenue Suite C Crystal Lake IL 60014
Phone: (815) 243-4092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois
Nursing Service Providers / Registered Nurse 163W00000X Illinois

Profile Details

NPI number 1235248915
LBN Legal business name Comer, Diane Katherine
Credentials LCPC, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235248915 NPPES
Illinois Other 265512 COMPSYCH
Illinois Other 4532309 COMPSYCH
Illinois Other 7094743 COMPSYCH

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