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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184674731 | NPPES |
| Illinois | Other | 1386961886 | CHICAGO RESEARCH CENTER, INC. |
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