Individual
MR. DAVID MICHAEL FIREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1263 W LOYOLA AVE, CHICAGO, IL 60626-5101
(773) 274-4600
Mailing address
1263 W LOYOLA AVE, CHICAGO, IL 60626-5101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001619932
BC/BS-PPO GROUP NUMBER
IL
Enumeration date
09/22/2006
Last updated
07/09/2007
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