Terrence J Koller


Address: 1740 Ridge Ave, Suite 200c, Evanston, IL 60201-5909
Phone: 8474755551

Terrence J Koller (NPI# 1487647715, PAC ID# 3476529777) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1487647715
PAC ID by PECOS 3476529777
Professional Enrollment ID I20040908000923
Full Name Terrence J Koller
Address 1740 Ridge Ave
Suite 200c
Evanston
IL 60201-5909
Phone Number 8474755551
Gender M
Credential CP
Graduation Year 1980
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1740 Ridge Ave, Suite 200c, Evanston, IL 60201-5909 8474755551

Organization Information

Office Location

Street Address 1740 RIDGE AVE
SUITE 200C
City EVANSTON
State IL
Zip 60201-5909

Physicians in the same location

Name Specialty Organization Address
Debora D Romeo Clinical Social Worker 1740 Ridge Ave, Suite 210, Evanston, IL 60201-5909
Colin J Peters Clinical Social Worker 1740 Ridge Ave, Suite 301, Evanston, IL 60201-5918
Mary E Senn Clinical Social Worker 1740 Ridge Ave, Suite 106, Evanston, IL 60201-5918
Josephine Ploetz Clinical Social Worker 1740 Ridge Ave, 101b, Evanston, IL 60201-5903
Linda W Walker Clinical Social Worker 1740 Ridge Ave, Suite 106, Evanston, IL 60201-5918
Alyse A Rynor Clinical Social Worker 1740 Ridge Ave, Suite 212, Evanston, IL 60201-5909
Rachel Mcl Greeley Clinical Social Worker 1740 Ridge Ave, 200c, Evanston, IL 60201-5909
Tak-seng Lodro Clinical Psychologist 1740 Ridge Ave, Evanston, IL 60201-5908

Physicians in the same zip code

Name Specialty Organization Address
Therese J Given Clinical Social Worker 3008 Central St, Evanston, IL 60201-1101
Kristina Byzyka Optometry Rosin Optical Co Inc 2914 Central St, Evanston, IL 60201-1237
George Pawlyk Optometry Rosin Optical Co Inc 2914 Central St, Evanston, IL 60201-1237
Kevin Pfeiffer Optometry Rosin Optical Co Inc 2914 Central St, Evanston, IL 60201-1237
Jerome P Wagner Psychologist, Clinical 2603 Broadway, Evanston, IL 60201-1501
Robert Lee Behrends Podiatry 1713 Central St, Evanston, IL 60201-1507
Todd S Newberger Internal Medicine 1713 Central St, Evanston, IL 60201-1507
Alan A Harvey Maxillofacial Surgery 2650 Ridge Ave, Evanston, IL 60201-1700
Adela Kola Hospitalist Northshore University Healthsystem Faculty Practice Associates 2650 Ridge Ave, Evanston, IL 60201-1718
Lynn K Martin Internal Medicine Northshore University Healthsystem Faculty Practice Associates 2650 Ridge Ave, Evanston, IL 60201-1718
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Competitor

Search similar physicians

City EVANSTON
Zip Code 60201
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty EVANSTON + PSYCHOLOGIST, CLINICAL

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Dataset Information

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.

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