Organization
EDMOND YOMTOOB, PSY.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND JACOB YOMTOOB PSY.D. (PRESIDENT)
(773) 450-4434
Entity
Organization
Contact information
Practice address
30 N MICHIGAN AVE STE 1005, CHICAGO, IL 60602-3750
(773) 450-4434
Mailing address
8 S MICHIGAN AVE STE 2005, CHICAGO, IL 60603-3342
(773) 450-4434
(866) 212-9520
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
072006350
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632882
BCBS
IL
01
—
101305461829
HUMANA CORPHEALTH
IL
01
—
205017571
CORPHEALTHHUMANA
IL
01
—
533645
VALUE OPTIONS
IL
01
—
9368304
PHCS
IL
Enumeration date
09/24/2006
Last updated
06/12/2024
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