Individual
PATRICIA ANN BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 CENTRAL AVE, SUITE H, WILMETTE, IL 60091-2666
(847) 256-6480
(847) 256-6482
Mailing address
1100 CENTRAL AVE, SUITE H, WILMETTE, IL 60091-2666
(847) 256-6480
(847) 256-6482
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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