| Phillip Elbaum Lcsw | |
|
35 Greenbriar Dr Deerfield IL 60015-5053 | |
| (847) 948-8696 | |
| (847) 948-8707 |
| Full Name | Phillip Elbaum Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 35 Greenbriar Dr, Deerfield, Illinois |
| Authorized Official Name and Position | Phillip Elbaum (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8479488696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Elbaum Lcsw 35 Greenbriar Dr Deerfield IL 60015-5053 Ph: (847) 948-8696 | Phillip Elbaum Lcsw 35 Greenbriar Dr Deerfield IL 60015-5053 Ph: (847) 948-8696 |
| NPI Number | 1982884052 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982884052 | NPI | - | NPPES |
| 0004972087 | Other | IL | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
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