Kirschbaum, Philip C.

Kirschbaum, Philip C. is an sole proprietor health care provider with primary practice located at 4212 Old Grand Ave Suite 102, Gurnee IL 60031-2708. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Kirschbaum, Philip C. can be contacted via phone (847) 336-5621.

Contact Information

Primary practice address
4212 Old Grand Ave Suite 102 Gurnee IL 60031-2708
Phone: (847) 336-5621
Fax: (847) 366-2594
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1619092962
LBN Legal business name Kirschbaum, Philip C.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
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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