Individual
BECKY D. BUMHIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
4305 N LINCOLN AVE, SUITE U, CHICAGO, IL 60618-1711
(773) 330-6299
Mailing address
4547 N CLAREMONT AVE, # 1, CHICAGO, IL 60625-7450
(773) 330-6299
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.004283
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634456
BLUE CROSS BLUE SHIELD
IL
01
—
7092683
AETNA
IL
01
—
734015000
MAGELLAN
IL
Enumeration date
04/02/2007
Last updated
01/31/2011
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