Provider Demographics
NPI:1629379474
Name:BROWNHARDT LLC
Entity Type:Organization
Organization Name:BROWNHARDT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-890-9680
Mailing Address - Street 1:9930 W 190TH ST
Mailing Address - Street 2:SUITE L
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-5608
Mailing Address - Country:US
Mailing Address - Phone:630-890-9680
Mailing Address - Fax:630-689-9484
Practice Address - Street 1:445 W JACKSON AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-5256
Practice Address - Country:US
Practice Address - Phone:630-890-9680
Practice Address - Fax:630-689-9484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007887103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty