Birnbaum, Tina
Birnbaum, Tina is an sole proprietor health care provider with primary practice located at 1101 Lake St Suite 310, Oak Park IL 60301-1085. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Birnbaum, Tina can be contacted via phone (708) 524-8898.Contact Information
Primary practice address
1101 Lake St Suite 310
Oak Park IL 60301-1085
Phone: (708) 524-8898
Fax: (708) 524-8758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Illinois | |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois | |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | Illinois |
Profile Details
| NPI number | 1518072511 |
|---|---|
| LBN Legal business name | Birnbaum, Tina |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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