Individual
MR. BRUCE HAROLD AARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1418 W BRYN MAWR, #1, CHICAGO, IL 60660
(773) 271-3817
Mailing address
1418 W BRYN MAWR, #1, CHICAGO, IL 60660
(773) 271-3817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622888
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/18/2007
Last updated
07/08/2007
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