Individual
DR. ANDRE BRISSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(917) 941-1339
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-2600
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
036170755
IL
Other
Enumeration date
06/28/2017
Last updated
09/09/2024
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