MEDICARE: DR. DOBBI ARIEL KERMAN PH.D.

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
1	101YM0800X	Mental Health Counselor		IL

General Provider Information

NPI Number	:	1194878256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOBBI ARIEL KERMAN PH.D.

Provider Business Mailing Address
First Line	:	1531 N WELLS ST
Second Line	:	SUITE 200
City	:	CHICAGO
State	:	IL
Zip	:	60610-7752
Country	:	US
Telephone Number	:	312-335-3737
Fax Number	:	312-335-4747

Provider Business Practice Location Address
First Line	:	1531 N WELLS ST
Second Line	:	SUITE 200
City	:	CHICAGO
State	:	IL
Zip	:	60610-7752
Country	:	US
Telephone Number	:	312-335-3737
Fax Number	:	312-335-4747

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	07/08/2007

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