Individual
DR. NICOLE MARIE KOSCIUK BRAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-7510
Mailing address
707 N CARLYLE LN, ARLINGTON HEIGHTS, IL 60004-5782
(847) 707-6318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010613
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010613
—
IL
Enumeration date
08/16/2011
Last updated
11/02/2018
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