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Individual

DR. ELIEZER KRUMBEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1866 SHERIDAN RD, SUITE 320, HIGHLAND PARK, IL 60038-2546
(847) 432-6465
(847) 432-5389
Mailing address
1866 SHERIDAN RD, SUITE 320, HIGHLAND PARK, IL 60038-2546
(847) 432-6465
(847) 432-5389

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
71-941
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04915060
BCBS
01
0491506012
BCBS
01
1106006
MAGELLAN
01
11374180
AETNA
01
L008279
CHAMPUS
Enumeration date
09/11/2006
Last updated
07/08/2007
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