Organization
BRANCH FAMILY MEDICINE & WELLNESS PLLC
Active
Organization
BRANCH FAMILY MEDICINE & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARINA BRANCH DNP, FNP-BC (OWNER)
(708) 816-4418
Entity
Organization
Contact information
Practice address
3330 W 177TH ST STE 3H, HAZEL CREST, IL 60429-2186
(708) 816-4418
(949) 818-7145
Mailing address
18300 S HALSTED ST STE B, GLENWOOD, IL 60425-1051
(708) 816-4418
(949) 818-7145
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
08/06/2026
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