Susan L Bogue (NPI# 1720193832, PAC ID# 5395860597) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1720193832 |
| PAC ID by PECOS | 5395860597 |
| Professional Enrollment ID | I20100910001091 |
| Full Name | Susan L Bogue |
| Organization Legal Name | TIMOTHY TRONC COUNSELING AND CONSULTING LLC |
| Address |
920 W Prairie Dr Suite F Sycamore IL 60178-3123 |
| Phone Number | 8158990501 |
| Gender | F |
| Graduation Year | 1976 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 5092706960 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 920 W Prairie Dr, Suite F, Sycamore, IL 60178-3123 | 8158990501 | TIMOTHY TRONC COUNSELING AND CONSULTING LLC |
| Organization Legal Name | TIMOTHY TRONC COUNSELING AND CONSULTING LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tim M Tronc | Clinical Social Worker | Timothy Tronc Counseling and Consulting LLC | 920 W Prairie Dr, Suite F, Sycamore, IL 60178-3123 |
| Toney Xidis | Clinical Social Worker | Timothy Tronc Counseling and Consulting LLC | 920 W Prairie Dr, Suite F, Sycamore, IL 60178-3123 |
| Street Address |
920 W PRAIRIE DR SUITE F |
| City | SYCAMORE |
| State | IL |
| Zip | 60178-3123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tim M Tronc | Clinical Social Worker | Timothy Tronc Counseling and Consulting LLC | 920 W Prairie Dr, Suite F, Sycamore, IL 60178-3123 |
| Lynda M Flowers | Nurse Practitioner | Sycamore Integrated Health Ltd | 920 W Prairie Dr, Suite J, Sycamore, IL 60178-3123 |
| Mardjan Foroutan | Psychiatry | 920 W Prairie Dr, Suite 1, Sycamore, IL 60178-3123 | |
| Zachary L Sheedy | Chiropractic | Sycamore Integrated Health Ltd | 920 W Prairie Dr, Suite J, Sycamore, IL 60178-3123 |
| Toney Xidis | Clinical Social Worker | Timothy Tronc Counseling and Consulting LLC | 920 W Prairie Dr, Suite F, Sycamore, IL 60178-3123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Ruetten | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Elaine Lawrence | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Kristin A Mock | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Ketan Morker | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Odolina Pope | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Mark A Drendel | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Heather Marvin | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Michael William Thornton | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Catherine A Ruetten | Family Medicine | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Cheri L Sprietler | Nurse Practitioner | Edward Health Ventures | 954 W State St, Sycamore, IL 60178-1335 |
| Find all physicians in zip 60178 | |||
| City | SYCAMORE |
| Zip Code | 60178 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SYCAMORE + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.