Organization
PEDIATRIC SPECIALISTS OF THE NW MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M BRAVERMAN MD (HEAD DOCTOR)
(847) 381-5005
Entity
Organization
Contact information
Practice address
5057 SHORELINE RD, LAKE BARRINGTON, IL 60010-1700
(847) 381-5005
(847) 381-5036
Mailing address
5057 SHORELINE RD, LAKE BARRINGTON, IL 60010-1700
(847) 381-5005
(847) 381-5036
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/09/2005
Last updated
08/22/2020
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