Individual
MRS. BRENDA ANN REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 695-0484
Mailing address
1322 HILL RD, GENEVA, IL 60134-1656
(630) 232-4508
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.018199
IL
Other
Enumeration date
07/16/2013
Last updated
09/18/2018
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