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Individual

DR. CHARLES DANIEL BREWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
2835 N SHEFFIELD AVE, STE 404, CHICAGO, IL 60657-5081
(773) 413-6006
(773) 880-2242
Mailing address
2835 N SHEFFIELD AVE, STE 404, CHICAGO, IL 60657-5081
(773) 413-6006
(773) 880-2242

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008477
IL

Other

Enumeration date
12/06/2012
Last updated
12/06/2012
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