Individual
BRANDEE DENISE STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1900 W POLK ST STE 154, CHICAGO, IL 60612-3723
(312) 864-8200
Mailing address
12641 S HARVARD AVE, CHICAGO, IL 60628-7222
(773) 306-9652
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041460164
IL
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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