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Individual

MS. NICOLE T BRANDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RRT

Contact information

Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
2929 GYPSUM CIR, NAPERVILLE, IL 60564-4852
(773) 398-1537

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
194.009536
IL
2279C0205X
Critical Care Registered Respiratory Therapist
2279G1100X
General Care Registered Respiratory Therapist

Other

Enumeration date
04/22/2020
Last updated
04/22/2020
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