Malm, Eric Christopher

Malm, Eric Christopher is an individual health care provider with primary practice located at 3401 N Central Ave , Chicago IL 60634-4426. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Malm, Eric Christopher can be contacted via phone (773) 282-9845.

Contact Information

Primary practice address
3401 N Central Ave Chicago IL 60634-4426
Phone: (773) 282-9845
Fax: (773) 282-9847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 149011241 Illinois

Profile Details

NPI number 1184674731
LBN Legal business name Malm, Eric Christopher
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Apr 27th, 2010 - about 15 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 1184674731 NPPES
Illinois Other 1386961886 CHICAGO RESEARCH CENTER, INC.

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