Individual
AMY BRUSSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PA
Contact information
Practice address
111 W WASHINGTON ST, SUITE 903, CHICAGO, IL 60602-2703
(312) 372-9355
(312) 372-9356
Mailing address
PO BOX 160, MATTESON, IL 60443-0160
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003499
IL
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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