Mirman, Morton Chester
Mirman, Morton Chester is an sole proprietor health care provider with primary practice located at 910 Skokie Blvd Suite 215, Northbrook IL 60062-4013. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mirman, Morton Chester can be contacted via phone (847) 209-1515.Contact Information
Primary practice address
910 Skokie Blvd Suite 215
Northbrook IL 60062-4013
Phone: (847) 209-1515
Fax: (847) 291-0576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071003339 | Illinois |
Profile Details
| NPI number | 1891733853 |
|---|---|
| LBN Legal business name | Mirman, Morton Chester |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Apr 27th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891733853 | NPPES |
| Illinois | Other | 884069 | FIRST HEALTH COVENTRY |
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