Individual
BRENDAN NAMOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 S MAPLE AVE, OAK PARK, IL 60304-1091
(312) 942-5000
Mailing address
1250 S INDIANA AVE APT 505, CHICAGO, IL 60605-3224
(708) 278-1931
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
146796
IL
Other
Enumeration date
07/24/2023
Last updated
10/09/2023
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