Brenner, Johnathan

Brenner, Johnathan is an individual health care provider with primary practice located at 125 Fairfield Way , Bloomingdale IL 60108-1597. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Brenner, Johnathan can be contacted via phone (630) 440-5406.

Contact Information

Primary practice address
125 Fairfield Way Bloomingdale IL 60108-1597
Phone: (630) 440-5406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 2056540 Illinois

Profile Details

NPI number 1407379555
LBN Legal business name Brenner, Johnathan
Credentials MA, ED.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2017
Last updated Jul 20th, 2017 - about 9 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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