Individual
MRS. JAMIE THALE BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
675 N. SAINT CLAIR ST 17TH FLOOR, CHICAGO, IL 60611
(312) 695-5620
(312) 695-2310
Mailing address
676 N. SAINT CLAIR ST. 20TH FLOOR, CHICAGO, IL 60611
(312) 695-3269
(312) 695-2310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011172
IL
Other
Enumeration date
03/05/2014
Last updated
12/22/2016
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