Doctor Name: | DR. THERESE M UNUMB |
NPI Number: | 1063546539 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 3400 Dundee Rd Suite 370 Northbrook, IL - 600622320 |
Business Phone Number: | 8472724799 |
Business Fax Number: | 8472724174 |
Mailing Address: | 3400 Dundee Rd, Suite 370 NORTHBROOK |
State: | IL |
Postal Code: | 600622320 |
Phone Number: | 8472724799 |
Fax Number: | 8472724174 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |