Michael R. Bourbon, LCSW

Clinical Social Worker · Vernon Hills, IL

Individual Active NPI

NPI number 1316012537

Practice location

977 Lakeview Pkwy
# 155
Vernon Hills, IL 60061-1400
Phone
(847) 918-0129
Fax
(847) 918-0747

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NPI record

NPI
1316012537
Entity type
Individual (Type 1)
Enumeration date
November 22, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149007084 IL

About Michael Bourbon

Michael R. Bourbon, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 977 Lakeview Pkwy, # 155, Vernon Hills, IL 60061-1400. The NPI number 1316012537 was assigned on November 22, 2006 and the record was last updated on July 8, 2007.

Michael Bourbon lists a license in the registry: #149007084 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael R. Bourbon, LCSW?

The NPI number is 1316012537.

What is the phone number of Michael Bourbon?

The phone number listed for the practice location is (847) 918-0129.

Where is Michael Bourbon located?

977 Lakeview Pkwy, # 155, Vernon Hills, IL 60061-1400.

What is the taxonomy code for Michael Bourbon?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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