Brandt, Ryan Kelsey

Brandt, Ryan Kelsey is an individual health care provider with primary practice located at 1440 Renaissance Dr Ste 320 , Park Ridge IL 60068-1471. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Brandt, Ryan Kelsey can be contacted via phone (847) 759-9110.

Contact Information

Primary practice address
1440 Renaissance Dr Ste 320 Park Ridge IL 60068-1471
Fax: (847) 759-9440
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 178.017836 Illinois

Profile Details

NPI number 1366119174
LBN Legal business name Brandt, Ryan Kelsey
Credentials LPC, ATR-P
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2021
Last updated Mar 20th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366119174 NPPES
Illinois Other 178.017836 IDFPR
Illinois Other 23-013 IDFPR

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