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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLAINE, GERSHENZON, AND HEINS

Active Organization

BLAINE, GERSHENZON, AND HEINS is a Clinical Psychologist organization located in GLENVIEW, Illinois. NPI 1417100991 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · GLENVIEW, IL

Registration Details

NPI Number
1417100991
Provider Type
Organization
NPI Issued
Oct 29, 2008 (17.785292431911 yrs)
Last Updated
Oct 29, 2008
Licenses
LCSW149005279 (IL)
LCSW149000197 (IL)
071.003586 (IL)

Practice Information

Address
3411 VANTAGE LN
GLENVIEW, IL, 600261366
Browse IL providers · Browse ZIP 60026
Phone
8474809671
Fax
3123720607
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.