Morton Chester Mirman in Northbrook - Clinical
Morton Chester Mirman - NPI 1891733853
Morton Chester Mirman is a Clinical in Northbrook, Illinois. Morton Chester Mirman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Morton Chester Mirman is 1891733853. The last update date is 2011-04-27.
Morton Chester Mirman's current location address is 910 Skokie Blvd, Northbrook, Illinois. You can contact this provider via phone number 8472091515 and fax number 8472910576. The mailing address for Morton Chester Mirman is 910 Skokie Blvd, Northbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Morton Chester Mirman |
|---|---|
| Address | 910 Skokie Blvd, Northbrook, Illinois |
| Phone Number | 8472091515 |
| Fax Number | 8472910576 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1891733853 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2011-04-27 |
Provider Mailing Address Detail
| Address | 910 Skokie Blvd |
|---|---|
| City | Northbrook |
| State | Illinois (IL) |
| Post Code | 600624013 |
| Phone Number | 8472091515 |
| Fax Number | 8472910576 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71003339 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 884069 | IL | FIRST HEALTH COVENTRY |
Post Comment/ Review Below
What is the unique identifier code issued to Morton Chester Mirman by the Centers for Medicare & Medicaid Services (CMS)?
The Morton Chester Mirman has been assigned the NPI (National Provider Identifier) 1891733853. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Morton Chester Mirman is located?
The Morton Chester Mirman is situated at the following address: 910 Skokie Blvd, Northbrook, IL, 600624013.
What is Morton Chester Mirman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Morton Chester Mirman's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891733853 to Morton Chester Mirman?
The Morton Chester Mirman received its 1891733853 assignment from the Centers for Medicare & Medicaid Services on 2006-06-03.
When was the information regarding Morton Chester Mirman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Morton Chester Mirman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-04-27.