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Individual
DR. SHAWN ELYSE BRICKNER
Active
Individual
DR. SHAWN ELYSE BRICKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036129166
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036129166
IL LIC
IL
Enumeration date
05/11/2009
Last updated
04/28/2016
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