Individual
BRIAN ANERINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4923 MAIN ST, DOWNERS GROVE, IL 60515-3654
(630) 206-0272
(630) 589-9123
Mailing address
2214 COUNTRY CLUB DR APT 4, WOODRIDGE, IL 60517-3006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.017150
IL
1041C0700X
Clinical Social Worker
Primary
251SOOOOOX
IL
1041C0700X
Clinical Social Worker
46-5304932
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942610738
—
IL
Enumeration date
12/07/2016
Last updated
12/07/2016
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