Individual
MS. BLAIRE BROERS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2929 N SOUTHPORT AVE, CHICAGO, IL 60657-6945
(773) 665-9947
Mailing address
2929 N SOUTHPORT AVE, CHICAGO, IL 60657-6945
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070016918
IL
Other
Enumeration date
02/16/2010
Last updated
10/30/2013
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