Individual
DR. RONALD WALTER BRAASCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3001 GREEN BAY ROAD, BUILDING 11, NORTH CHICAGO, IL 60064
(847) 688-1900
(224) 610-3778
Mailing address
301 N MAPLE AVE, ELMHURST, IL 60126-2332
(847) 688-1900
(224) 610-3778
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
IL
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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