Gurewitz, Glenn S.

Gurewitz, Glenn S. is an sole proprietor health care provider with primary practice located at 1701 E Lake Ave Suite 205, Glenview IL 60025-2065. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gurewitz, Glenn S. can be contacted via phone (847) 657-3336.

Contact Information

Primary practice address
1701 E Lake Ave Suite 205 Glenview IL 60025-2065
Phone: (847) 657-3336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071004857 Illinois

Profile Details

NPI number 1922162239
LBN Legal business name Gurewitz, Glenn S.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 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 1922162239 NPPES
Illinois Other 01606138 BLUECROSS PROVIDER #
Illinois Other 071004857 BLUECROSS PROVIDER #

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