Braverman, Charles Mark

Braverman, Charles Mark is an individual health care provider with primary practice located at 5057 Shoreline Rd , Lake Barrington IL 60010-1700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Braverman, Charles Mark can be contacted via phone (847) 381-5005.

Contact Information

Primary practice address
5057 Shoreline Rd Lake Barrington IL 60010-1700
Phone: (847) 381-5005
Fax: (847) 381-5036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036077877 Illinois

Profile Details

NPI number 1316928864
LBN Legal business name Braverman, Charles Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated May 19th, 2022 - about 3 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 1316928864 NPPES
Illinois MEDICAID 036077877

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