Brachman, Malcolm K

Brachman, Malcolm K is an individual health care provider with primary practice located at 15900 S Cicero , Oak Forest IL 60452. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Brachman, Malcolm K can be contacted via phone (708) 633-3478.

Contact Information

Primary practice address
15900 S Cicero Oak Forest IL 60452
Phone: (708) 633-3478
Fax: (708) 633-3449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 71004975

Profile Details

NPI number 1609943554
LBN Legal business name Brachman, Malcolm K
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 19 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 1609943554 NPPES
Illinois MEDICAID 71004975

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