Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Philip C. Kirschbaum, LCSW

Individual provider Professional Counselor · NPI 1619092962

Mr. Philip C. Kirschbaum, LCSW is a Professional Counselor in Gurnee, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4212 Old Grand Ave Ste 102
Gurnee, IL 60031-2708
Phone: (847) 336-5621
Fax: (847) 366-2594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (IL)
Clinical Social Worker Taxonomy 1041C0700X (IL)

Record details

NPI number1619092962
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 19, 2007
Last updated in NPPESSeptember 11, 2025

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