Romm, Stephan

Romm, Stephan is an sole proprietor health care provider with primary practice located at 636 Church St Suite419A, Evanston IL 60201-4508. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Romm, Stephan can be contacted via phone (847) 328-3350.

Contact Information

Primary practice address
636 Church St Suite419A Evanston IL 60201-4508
Phone: (847) 328-3350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-004931 Illinois

Profile Details

NPI number 1104874494
LBN Legal business name Romm, Stephan
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Jun 1st, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104874494 NPPES
Illinois Other 273939000 MAGELLAN
Illinois Other 216-06218 MAGELLAN
Illinois Other 232373643 MAGELLAN
Illinois Other 782-5241 MAGELLAN

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