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Contact Information

RONALD W BRAASCH JR, PhD
3001 GREEN BAY ROAD
BUILDING 11
NORTH CHICAGO, IL60064
 Phone: 847-688-1900
 Fax: 224-610-3778
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RONALD W BRAASCH JR · (Male)

NPI Number 1316056518
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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