Brainin, Constance S
Brainin, Constance S is an sole proprietor health care provider with primary practice located at 5330 W Devon Ave Edgebrook Medical Building, Chicago IL 60646-4108. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brainin, Constance S can be contacted via phone (773) 775-3133.Contact Information
Primary practice address
5330 W Devon Ave Edgebrook Medical Building
Chicago IL 60646-4108
Phone: (773) 775-3133
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180-000115 | Illinois |
Profile Details
NPI number | 1699737569 |
---|---|
LBN Legal business name | Brainin, Constance S |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 5th, 2006 |
Last updated | Aug 31st, 2009 - about 16 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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