Chiaramonte, Brian Joseph

Chiaramonte, Brian Joseph is an sole proprietor health care provider with primary practice located at 3303 S Halsted St Suite 203, Chicago IL 60608-6705. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Chiaramonte, Brian Joseph can be contacted via phone (773) 579-1440.

Contact Information

Primary practice address
3303 S Halsted St Suite 203 Chicago IL 60608-6705
Phone: (773) 579-1440
Fax: (773) 579-0227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016-004502 Illinois

Profile Details

NPI number 1972618635
LBN Legal business name Chiaramonte, Brian Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Jul 29th, 2018 - about 8 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 1972618635 NPPES
Illinois MEDICAID 016004502

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