MR. MICHAEL BLUMBERG M.A., L.C.P.C
NPI 1972737609
Counselor - Professional in Park Ridge, IL
Active since May 09, 2009
1580 N NORTHWEST HWY, SUITE 215, PARK RIDGE, IL 60068(847) 299-3400(847) 299-3487 Get Directions Write a Review
About Mr. Michael Blumberg M.a., L.c.p.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICHAEL BLUMBERG M.A., L.C.P.C (NPI 1972737609) is an individual professional provider in Park Ridge, Illinois, licensed in Illinois (180007166) and active in the NPI registry since May 2009.
NPPES Registry Identity
NPI1972737609
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MICHAEL BLUMBERGCredential: M.A., L.C.P.C
Location Address1580 N NORTHWEST HWY, SUITE 215Park Ridge, IL 60068-1444
Mailing Address1580 N Northwest Hwy, Suite 215Park Ridge, IL 60068-1444 · (847) 299-3400 · Fax (847) 299-3487
Phone(847) 299-3400
Fax(847) 299-3487
Sole ProprietorYes
Enumeration DateMay 9, 2009
Last NPPES UpdateOctober 13, 2009
✔ NPI 1972737609 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180007166
1580 N NORTHWEST HWY, Park Ridge, IL 60068
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
1580 N NORTHWEST HWY, SUITE 10A
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
Psychologist (Clinical)
1580 N NORTHWEST HWY, SUITE 224-A
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
Psychologist (Clinical)
1580 N NORTHWEST HWY, SUITE 125
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
Psychologist (Clinical)
1580 N NORTHWEST HWY, SUITE 125
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
Social Worker (Clinical)
1580 N NORTHWEST HWY, SUITE 125-C
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
Psychologist (Clinical)
1580 N NORTHWEST HWY, SUITE 125
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972737609, enumerated as an "individual" on May 09, 2009.
The provider is located at 1580 N NORTHWEST HWY SUITE 215 PARK RIDGE, IL 60068 and the phone number is (847) 299-3400.
Counselor with taxonomy code 101YP2500X and a focus in Professional.