Individual
ELISSA S BREBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4201 W MEDICAL CENTER DR, MEDICAL IMAGING DEPT, MCHENRY, IL 60050-8409
(815) 759-0800
Mailing address
PO BOX 220, MCHENRY, IL 60051-0220
(815) 759-0800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036111827
IL
2085R0202X
Diagnostic Radiology Physician
36111827
IL
Other
Enumeration date
07/03/2007
Last updated
11/01/2023
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