Individual
MS. BRENDA LEE LANGFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
12757 WESTERN AVE, BLUE ISLAND, IL 60406-2155
(708) 293-8437
Mailing address
2208 220TH ST, SAUK VILLAGE, IL 60411-5010
(708) 203-8216
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209021014
IL
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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