Provider Demographics
NPI:1720274335
Name:DAUN BLAIN AND BARBARA PERLMAN LLC
Entity Type:Organization
Organization Name:DAUN BLAIN AND BARBARA PERLMAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DAUN
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:224-433-9932
Mailing Address - Street 1:135 N GREENLEAF ST STE 228
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-3371
Mailing Address - Country:US
Mailing Address - Phone:224-433-9932
Mailing Address - Fax:847-548-8083
Practice Address - Street 1:265 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-1226
Practice Address - Country:US
Practice Address - Phone:224-433-9932
Practice Address - Fax:847-548-8083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071003882103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty