Anerino, Brian

Anerino, Brian is an sole proprietor health care provider with primary practice located at 4923 Main St , Downers Grove IL 60515-3654. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anerino, Brian can be contacted via phone (630) 206-0272.

Contact Information

Primary practice address
4923 Main St Downers Grove IL 60515-3654
Phone: (630) 206-0272
Fax: (630) 589-9123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.017150 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 46-5304932 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 251SOOOOOX Illinois

Profile Details

NPI number 1962946111
LBN Legal business name Anerino, Brian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2016
Last updated Dec 7th, 2016 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962946111 NPPES
Illinois MEDICAID 1942610738

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