Individual
MS. IRENE BRESINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
11200 W LINCOLN HWY, MOKENA, IL 60448-8208
(815) 464-2171
Mailing address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 659-7101
(484) 450-2617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209000423
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209000423
LICENSE
IL
Enumeration date
06/21/2007
Last updated
01/24/2009
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