Individual
MR. ERIC CHRISTOPHER MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3401 N CENTRAL AVE, CHICAGO, IL 60634-4426
(773) 282-9845
(773) 282-9847
Mailing address
3401 N CENTRAL AVE, CHICAGO, IL 60634-4426
(773) 282-9845
(773) 282-9847
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149011241
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386961886
CHICAGO RESEARCH CENTER, INC.
IL
Enumeration date
05/12/2006
Last updated
04/27/2010
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