Chmiel, Matthew Braden
Chmiel, Matthew Braden is an sole proprietor health care provider with primary practice located at 943 Hannah Ave , Forest Park IL 60130-2309. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Chmiel, Matthew Braden can be contacted via phone (708) 488-9556.Contact Information
Primary practice address
943 Hannah Ave
Forest Park IL 60130-2309
Phone: (708) 488-9556
Fax: (708) 488-9556
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.012372 | Illinois |
Behavioral Health & Social Service Providers / School | 1041S0200X | 631828 | Illinois |
Profile Details
NPI number | 1326410432 |
---|---|
LBN Legal business name | Chmiel, Matthew Braden |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 28th, 2015 |
Last updated | Oct 28th, 2015 - about 10 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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