Brakman, Carl Lee
Brakman, Carl Lee is an sole proprietor health care provider with primary practice located at 800 Main St Ste 210 , Antioch IL 60002-1578. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brakman, Carl Lee can be contacted via phone (847) 903-5604.Contact Information
Primary practice address
800 Main St Ste 210
Antioch IL 60002-1578
Phone: (847) 903-5604
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149002890 | Illinois |
Profile Details
| NPI number | 1689188716 |
|---|---|
| LBN Legal business name | Brakman, Carl Lee |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2017 |
| Last updated | Sep 2nd, 2022 - about 2 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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