Masbaum, Michelle Alane

Masbaum, Michelle Alane is an sole proprietor health care provider with primary practice located at 744 Hinman Ave Apt 2 , Evanston IL 60202-4446. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Other Service Providers / Interpreter, Behavioral Health & Social Service Providers / Professional. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist is her primary health care specialty. Masbaum, Michelle Alane can be contacted via phone (847) 745-3036.

Contact Information

Primary practice address
744 Hinman Ave Apt 2 Evanston IL 60202-4446
Phone: (847) 745-3036
Fax: (847) 745-3096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 05-003 Illinois
Other Service Providers / Interpreter 171R00000X Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1639230618
LBN Legal business name Masbaum, Michelle Alane
Credentials LCPC, ATR-BC, CDVP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 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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