Brasch, Joel G.
Brasch, Joel G. is an individual health care provider with primary practice located at 10811 W 143Rd St Suite 120, Orland Park IL 60467-1913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Brasch, Joel G. can be contacted via phone (708) 403-4210.Contact Information
Primary practice address
10811 W 143Rd St Suite 120
Orland Park IL 60467-1913
Phone: (708) 403-4210
Fax: (708) 403-5272
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 01041509A | Indiana |
Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | Illinois |
Profile Details
NPI number | 1760597140 |
---|---|
LBN Legal business name | Brasch, Joel G. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 19th, 2006 |
Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760597140 | NPPES |
Illinois | Other | 1620606 | BLUE CROSS |
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