Dr David Edmund Gottlieb, PHD - Psychologist in Homewood, IL

Dr David Edmund Gottlieb, PHD is a Psychologist - Clinical based in Homewood, Illinois. Dr David Edmund Gottlieb is licensed to practice in Illinois (license number ) and his current practice location is 2024 Hickory Rd., Ste. 104, Homewood, Illinois. He can be reached at his office (for appointments etc.) via phone at (708) 799-8796.

NPI number for Dr David Edmund Gottlieb is 1942395306 and his current mailing address is 2024 Hickory Rd., Ste. 104, Homewood, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942395306.

Contact Information

Dr David Edmund Gottlieb, PHD
2024 Hickory Rd., Ste. 104,
Homewood, IL 60430-2125
(708) 799-8796
(708) 799-6409

Map and Direction




Healthcare Provider's Profile

Full NameDr David Edmund Gottlieb
GenderMale
SpecialityPsychologist - Clinical
Location2024 Hickory Rd., Homewood, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942395306
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr David Edmund Gottlieb such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942395306NPI-NPPES
01672899OtherILBCBS ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Edmund Gottlieb is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr David Edmund Gottlieb, PHD
2024 Hickory Rd., Ste. 104,
Homewood, IL 60430-2125

Ph: (708) 799-8796
Dr David Edmund Gottlieb, PHD
2024 Hickory Rd., Ste. 104,
Homewood, IL 60430-2125

Ph: (708) 799-8796

Reviews and Comments


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