Individual
DR. MALCOLM K BRACHMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
15900 S CICERO, OAK FOREST, IL 60452
(708) 633-3478
(708) 633-3449
Mailing address
15900 S CICERO, OAK FOREST, IL 60452
(708) 633-3478
(708) 633-3449
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
71004975
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71004975
—
IL
Enumeration date
11/29/2006
Last updated
07/08/2007
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