Individual
BRAYLEE NICOLE GRISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE # 5068, CHICAGO, IL 60637-1443
(773) 702-9500
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.083212
IL
Other
Enumeration date
04/09/2024
Last updated
04/28/2024
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