Individual
BRETT BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9555 S 52ND AVE, OAK LAWN, IL 60453-3054
(708) 684-5437
Mailing address
9555 S 52ND AVE, OAK LAWN, IL 60453-3054
(812) 595-2124
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
MT210713
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125063479
MEDICAL LICENSE, TEMPORARY
IL
Enumeration date
06/03/2013
Last updated
12/21/2021
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