Individual
BRENNA KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
918 HILLVIEW DR, LEMONT, IL 60439-4334
(630) 863-1376
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014358
IL
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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