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Individual

DR. MARSHA JANE BRAZLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8747 S STATE ST, CHICAGO, IL 60619-6608
(312) 225-2055
(312) 435-1450
Mailing address
443 E 31ST ST, CHICAGO, IL 60616-4051
(312) 225-2055
(312) 435-1450

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
IL

Other

Enumeration date
01/02/2007
Last updated
07/08/2007
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