Individual
BRENDA MUTEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
35 CREEKSIDE CIR APT D, ELGIN, IL 60123-1103
(224) 628-4456
Mailing address
35 CREEKSIDE CIR APT D, ELGIN, IL 60123-1103
(224) 628-4456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209026643
IL
363LF0000X
Family Nurse Practitioner
00000000000000000000
IL
Other
Enumeration date
11/21/2022
Last updated
08/23/2023
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