| Doctor Name: | JOEL K. BROTMAN |
| NPI Number: | 1043372584 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 149009425 |
| Business Practice Address: | 735 Saint Johns Ave Suite # 400 Highland Park, IL - 600354649 |
| Business Phone Number: | 8472665660 |
| Business Fax Number: | |
| Mailing Address: | 271 Woodland Rd, HIGHLAND PARK |
| State: | IL |
| Postal Code: | 600355004 |
| Phone Number: | 8474324480 |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 10/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149009425 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |