Federman, Carolyn
Federman, Carolyn is an sole proprietor health care provider with primary practice located at 4180 Route 83 Suite 10, Long Grove IL 60047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Federman, Carolyn can be contacted via phone (847) 686-0037.Contact Information
Primary practice address
4180 Route 83 Suite 10
Long Grove IL 60047
Phone: (847) 686-0037
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | Illinois |
Profile Details
| NPI number | 1093812430 |
|---|---|
| LBN Legal business name | Federman, Carolyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093812430 | NPPES |
| Illinois | Other | 4932106 | BCBS PROVIDER NUMBER |
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