Birnbaum, Tina

Birnbaum, Tina is an sole proprietor health care provider with primary practice located at 1101 Lake St Suite 310, Oak Park IL 60301-1085. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Birnbaum, Tina can be contacted via phone (708) 524-8898.

Contact Information

Primary practice address
1101 Lake St Suite 310 Oak Park IL 60301-1085
Phone: (708) 524-8898
Fax: (708) 524-8758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X Illinois

Profile Details

NPI number 1518072511
LBN Legal business name Birnbaum, Tina
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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