Individual
MR. BENJAMIN ROBERT SHULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1645 W JACKSON BLVD STE 602, CHICAGO, IL 60612-3276
(312) 563-4571
Mailing address
2336 W ROSCOE ST UNIT 1F, CHICAGO, IL 60618-6783
(847) 275-2306
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.012299
IL
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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