Apollo, Brian

Apollo, Brian is an individual health care provider with primary practice located at 42 W Madison St , Chicago IL 60602-4309. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Apollo, Brian can be contacted via phone (773) 553-1800.

Contact Information

Primary practice address
42 W Madison St Chicago IL 60602-4309
Phone: (773) 553-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1558874255
LBN Legal business name Apollo, Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2017
Last updated Nov 16th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558874255 NPPES
Illinois Other 1850345 ISBE

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