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General NPI Number Information
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NPI Number | 1285462960
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Entity Type | Organization
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Legal Business Name | BLUMER PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 400 CENTRAL AVE STE 320
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City | NORTHFIELD
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State | IL
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Zip | 60093-3024
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Country | US
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Telephone | 847-220-7631
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 PRAIRIE ST
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City | GLENVIEW
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State | IL
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Zip | 60025-2824
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. ELLA BLUMER
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Credential |
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Telephone | 847-220-7631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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