Braunlich, Scott Edward

Braunlich, Scott Edward is an individual health care provider with primary practice located at 800 N Westmoreland Rd Suite 100, Lake Forest IL 60045-1673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Braunlich, Scott Edward can be contacted via phone (847) 234-8866.

Contact Information

Primary practice address
800 N Westmoreland Rd Suite 100 Lake Forest IL 60045-1673
Phone: (847) 234-8866
Fax: (847) 234-4682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036070461 Illinois

Profile Details

NPI number 1487638904
LBN Legal business name Braunlich, Scott Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Oct 13th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487638904 NPPES
Illinois MEDICAID 036070461

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