Individual
DR. EDMOND JACOB YOMTOOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
072006350
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632882
BLUE CROSS
IL
Enumeration date
03/31/2008
Last updated
05/17/2024
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