Individual
MS. MARISA C BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2888
(312) 926-4949
Mailing address
675 N SAINT CLAIR ST, GALTER 18-250, CHICAGO, IL 60611-5975
(312) 926-2888
(312) 926-4949
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003304
IL
Other
Enumeration date
03/27/2009
Last updated
05/19/2014
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