MICHAEL R BOURBON CSW

Dr MICHAEL R BOURBON CSW is a male medical professional, specializing in Clinical Social Worker. He graduated in 1991.

Contact

10 W PHILLIP RD
SUITE 107
VERNON HILLS
IL
600611730

Tel:

MICHAEL R BOURBON CSW Information

Npi 1316012537
Pac Id 2163313172
Professional Enrollment Id I20040322000133
Last Name BOURBON
First Name MICHAEL
Middle Name R
Suffix
Gender M
Credential CSW
Medical School Name OTHER
Graduation Year 1991
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 10 W PHILLIP RD
Line 2 Street Address SUITE 107
Marker Of Address Line 2 Suppression
City VERNON HILLS
State IL
Zip Code 600611730
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

Do you know MICHAEL R BOURBON CSW?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.