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NPI Code Detail

MEDICARE: CENTER FOR BEHAVIORAL MEDICINE LTD

MEDICARE: CENTER FOR BEHAVIORAL MEDICINE LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist072-003557IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1162-0249OTHERILBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1336237437
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR BEHAVIORAL MEDICINE LTD
Provider Business Mailing Address
First Line : 435 N MICHIGAN AVE
Second Line : SUITE 2800
City : CHICAGO
State : IL
Zip : 60611-4066
Country : US
Telephone Number : 312-245-3120
Fax Number : 312-245-3124
Provider Business Practice Location Address
First Line : 435 N MICHIGAN AVE
Second Line : SUITE 2800
City : CHICAGO
State : IL
Zip : 60611-4066
Country : US
Telephone Number : 312-245-3120
Fax Number : 312-245-3124
Authorized Official
Title or Position : DIRECTOR
Name : DR. DANIEL S. KIRSCHENBAUM
Credential : PH.D.
Telephone Number : 312-245-3120
Provider Enumeration Date : 10/11/2006
Last Update Date : 07/14/2010

Similar Medicare Providers

1780773267 — MS. SUSAN SHRIFTER-FIALKOW
Practice Location Address:
435 N MICHIGAN AVE , SUITE 2800
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1225211600 — DR. JOHN JOSEPH MILLICHAP M.D.
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1295482933 — PRECISION EPILEPSY PLLC
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1831162528 — DCP OF ILLINOIS (IRVING PARK), LTD.
Practice Location Address:
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1922179795 — DR. LOURDES RIVERO DDS
Practice Location Address:
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Practice Fax:
1215384292 — ELISA JULIA LEE LCPC, NBCC
Practice Location Address:
6815 W 63RD ST STE 7
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Practice Phone: 708-304-3010
Practice Fax: 708-575-5333

Directions to “CENTER FOR BEHAVIORAL MEDICINE LTD ” Practice Location

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