Brasky, Jeffrey Theodore
Brasky, Jeffrey Theodore is an sole proprietor health care provider with primary practice located at 711 W Devon Ave , Park Ridge IL 60068-4713. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Brasky, Jeffrey Theodore can be contacted via phone (847) 696-3176.Contact Information
Primary practice address
711 W Devon Ave
Park Ridge IL 60068-4713
Phone: (847) 696-3176
Fax: (847) 696-2678
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125-053381 | Illinois |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036126494 | Illinois |
Profile Details
NPI number | 1891976981 |
---|---|
LBN Legal business name | Brasky, Jeffrey Theodore |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 17th, 2007 |
Last updated | Mar 17th, 2018 - about 6 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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