Individual
THOMAS H BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5100 N RAVENSWOOD AVE STE 206, CHICAGO, IL 60640-1710
(773) 916-6628
Mailing address
5100 N RAVENSWOOD AVE STE 206, CHICAGO, IL 60640-1710
(773) 916-6628
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001425
IL
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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