Philip C. Kirschbaum in Gurnee - Clinical
Philip C. Kirschbaum - NPI 1619092962
Philip C. Kirschbaum is a Clinical in Gurnee, Illinois. Philip C. Kirschbaum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Philip C. Kirschbaum is 1619092962. The last update date is 2007-07-08.
Philip C. Kirschbaum's current location address is 4212 Old Grand Ave, Gurnee, Illinois. You can contact this provider via phone number 8473365621 and fax number 8473662594. The mailing address for Philip C. Kirschbaum is 4212 Old Grand Ave, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip C. Kirschbaum |
|---|---|
| Address | 4212 Old Grand Ave, Gurnee, Illinois |
| Phone Number | 8473365621 |
| Fax Number | 8473662594 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1619092962 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4212 Old Grand Ave |
|---|---|
| City | Gurnee |
| State | Illinois (IL) |
| Post Code | 600312708 |
| Phone Number | 8473365621 |
| Fax Number | 8473662594 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Philip C. Kirschbaum by the Centers for Medicare & Medicaid Services?
The Philip C. Kirschbaum has been issued the NPI (National Provider Identifier) 1619092962, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Philip C. Kirschbaum is geographically located?
The Philip C. Kirschbaum is physically situated at the following location: 4212 Old Grand Ave, Gurnee, IL, 600312708.
What is Philip C. Kirschbaum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Philip C. Kirschbaum is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When did the Philip C. Kirschbaum receive its 1619092962?
The Philip C. Kirschbaum was issued its 1619092962 on 2007-03-19, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Philip C. Kirschbaum most recently updated or revised?
The information pertaining to Philip C. Kirschbaum, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.