| Sue Blomberg, Lcpc, Llc | |
|
1040 Chestnut Ave Wilmette IL 60091-1732 | |
| (847) 778-9001 | |
| Not Available |
| Full Name | Sue Blomberg, Lcpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1040 Chestnut Ave, Wilmette, Illinois |
| Authorized Official Name and Position | Sue Blomberg (OWNER) |
| Authorized Official Contact | 8477789001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sue Blomberg, Lcpc, Llc 4765 N Lincoln Ave Suite 209 Chicago IL 60625-2077 Ph: (847) 778-9001 | Sue Blomberg, Lcpc, Llc 1040 Chestnut Ave Wilmette IL 60091-1732 Ph: (847) 778-9001 |
| NPI Number | 1669713772 |
|---|---|
| Provider Enumeration Date | 03/14/2013 |
| Last Update Date | 03/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669713772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180008011 (Illinois) | Primary |
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