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Search › Illinois › 1041C0700X

Viengkeo Chanthaloth- Phasouk, LCSW

NPI 1366920811 · on the registry since 2018

Practice

Address
2704 N Main St
Rockford, IL 61103
Phone
(815) 391-1000
Fax
(815) 815-7204
Organisation at this address
Rosecrance
Rosecrance Inc
Rosecrance Inc
Rosecrance, Inc.
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
64

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101Y00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois