Brandon, Charles

Brandon, Charles is an sole proprietor health care provider with primary practice located at 1120 Ontario St Apt 203 , Oak Park IL 60302-1954. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Brandon, Charles can be contacted via phone (773) 977-6880.

Contact Information

Primary practice address
1120 Ontario St Apt 203 Oak Park IL 60302-1954
Phone: (773) 977-6880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1265274203
LBN Legal business name Brandon, Charles
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2024
Last updated Jun 11th, 2024 - about last year

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.

Request for update

Popular Providers