Individual
DEBRA BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
2516 WATERFORD DR, CREST HILL, IL 60403-0822
(815) 483-5000
Mailing address
2516 WATERFORD DR, CREST HILL, IL 60403-0822
(815) 483-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012406
IL
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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