| Jane Rosenblum Lcsw Pllc | |
|
1336 Oxford Rd Deerfield IL 60015-2316 | |
| (847) 987-0996 | |
| Not Available |
| Full Name | Jane Rosenblum Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1336 Oxford Rd, Deerfield, Illinois |
| Authorized Official Name and Position | Jane Rosenblum (ADMIN) |
| Authorized Official Contact | 8479870996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Rosenblum Lcsw Pllc 1336 Oxford Rd Deerfield IL 60015-2316 Ph: () - | Jane Rosenblum Lcsw Pllc 1336 Oxford Rd Deerfield IL 60015-2316 Ph: (847) 987-0996 |
| NPI Number | 1942049044 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Medicare PECOS PAC ID | 6709320401 |
|---|---|
| Medicare Enrollment ID | O20240705001973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942049044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jane Ellyn Rosenblum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508624479 PECOS PAC ID: 7517401219 Enrollment ID: I20240802003752 |
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