Elbaum, Phillip L.

Elbaum, Phillip L. is an individual health care provider with primary practice located at 35 Greenbriar Dr , Deerfield IL 60015-5053. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Elbaum, Phillip L. can be contacted via phone (847) 948-8696.

Contact Information

Primary practice address
35 Greenbriar Dr Deerfield IL 60015-5053
Phone: (847) 948-8696
Fax: (847) 948-8707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149000376 Illinois

Profile Details

NPI number 1386695195
LBN Legal business name Elbaum, Phillip L.
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 25th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386695195 NPPES
Illinois Other 4972087 BCBS IL

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