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Individual

DR. MORTON CHESTER MIRMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
910 SKOKIE BLVD, SUITE 215, NORTHBROOK, IL 60062-4013
(847) 209-1515
(847) 291-0576
Mailing address
910 SKOKIE BLVD, SUITE 215, NORTHBROOK, IL 60062-4013
(847) 209-1515
(847) 291-0576

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071003339
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
884069
FIRST HEALTH COVENTRY
IL
Enumeration date
06/03/2006
Last updated
04/27/2011
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