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1043337454
MICHAEL C. BAUM
BLOOMINGTON, IL
NPI
1043337454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071002404)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL C. BAUM Ph.D.
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701-1429
Phone number: 309-820-3500
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Mailing Address
Dr. MICHAEL C. BAUM Ph.D.
1106 E MONROE ST
BLOOMINGTON, IL 61701-3329
Phone number: 309-828-3770
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