Federman, Carolyn

Federman, Carolyn is an sole proprietor health care provider with primary practice located at 4180 Route 83 Suite 10, Long Grove IL 60047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Federman, Carolyn can be contacted via phone (847) 686-0037.

Contact Information

Primary practice address
4180 Route 83 Suite 10 Long Grove IL 60047
Phone: (847) 686-0037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Illinois

Profile Details

NPI number 1093812430
LBN Legal business name Federman, Carolyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093812430 NPPES
Illinois Other 4932106 BCBS PROVIDER NUMBER

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