Provider Demographics
NPI:1053458893
Name:BUCHMAN, RENE' ELIZABETH (MA, LCPC)
Entity Type:Individual
Prefix:MS
First Name:RENE'
Middle Name:ELIZABETH
Last Name:BUCHMAN
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8198 CHAPMAN CT
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-5096
Mailing Address - Country:US
Mailing Address - Phone:630-960-1324
Mailing Address - Fax:630-512-0365
Practice Address - Street 1:1112 S WASHINGTON ST
Practice Address - Street 2:SUITE 112
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-7959
Practice Address - Country:US
Practice Address - Phone:630-717-9858
Practice Address - Fax:630-717-8259
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0002232445OtherBLUE CROSS BLUE SHIELD