Individual
CASEY BRAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14902 S ROUTE 59, PLAINFIELD, IL 60544-2728
(815) 254-5792
(815) 254-6847
Mailing address
14902 S ROUTE 59, PLAINFIELD, IL 60544-2728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.291912
IL
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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