Doctor Name: | ROBERT EMIL THURMAN |
NPI Number: | 1205049194 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 330 W. 177th Street Suite 3f Hazel Crest, IL - 60430 |
Business Phone Number: | 7734198288 |
Business Fax Number: | 3125751280 |
Mailing Address: | 18303 Robin Ln, HOMEWOOD |
State: | IL |
Postal Code: | 604302856 |
Phone Number: | 7734198288 |
Fax Number: | 3125751280 |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |