Individual
DR. NEAL KIRSCHENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6524 N DRAKE AVE, LINCOLNWOOD, IL 60712-4018
(847) 673-5255
(847) 673-2992
Mailing address
6524 N DRAKE AVE, LINCOLNWOOD, IL 60712-4018
(847) 673-5255
(847) 673-2992
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1672609
BLUE CROSS OF IL.
IL
01
—
1672610
BLUE CROSS OF IL.
IL
Enumeration date
10/26/2006
Last updated
07/08/2007
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