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Individual

DR. CHARLES MARK BRAVERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5057 SHORELINE RD, LAKE BARRINGTON, IL 60010-1700
(847) 381-5005
(847) 381-5036
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036077877
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036077877
IL
Enumeration date
11/10/2005
Last updated
05/19/2022
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