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Organization
PHILLIP ELBAUM LCSW
Active
Organization
PHILLIP ELBAUM LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP ELBAUM LCSW (CLINICAL SOCIAL WORKER)
(847) 948-8696
Entity
Organization
Contact information
Practice address
35 GREENBRIAR DR, DEERFIELD, IL 60015-5053
(847) 948-8696
(847) 948-8707
Mailing address
35 GREENBRIAR DR, DEERFIELD, IL 60015-5053
(847) 948-8696
(847) 948-8707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004972087
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
11/06/2007
Last updated
11/06/2007
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