Brauer, John Ricksecker

Brauer, John Ricksecker is an individual health care provider with primary practice located at 589B S York St , Elmhurst IL 60126-4463. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Brauer, John Ricksecker can be contacted via phone (630) 435-1550.

Contact Information

Primary practice address
589B S York St Elmhurst IL 60126-4463
Phone: (630) 435-1550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X Illinois

Profile Details

NPI number 1376608158
LBN Legal business name Brauer, John Ricksecker
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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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