Provider Demographics
NPI:1134491087
Name:BROWNSTEIN, YISROEL (DR OF PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:YISROEL
Middle Name:
Last Name:BROWNSTEIN
Suffix:
Gender:M
Credentials:DR OF PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6933 N KEDZIE AVE
Mailing Address - Street 2:UNIT #616
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-2896
Mailing Address - Country:US
Mailing Address - Phone:773-415-2078
Mailing Address - Fax:
Practice Address - Street 1:6933 N KEDZIE AVE
Practice Address - Street 2:UNIT #616
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-2896
Practice Address - Country:US
Practice Address - Phone:773-415-2078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist