Individual
DR. DAVID EDMUND GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2024 HICKORY RD., STE. 104, HOMEWOOD, IL 60430-2125
(708) 799-8796
(708) 799-6409
Mailing address
2024 HICKORY RD., STE. 104, HOMEWOOD, IL 60430-2125
(708) 799-8796
(708) 799-6409
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01672899
BCBS ID
IL
Enumeration date
10/03/2006
Last updated
07/08/2007
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