Organization
KURT J BROTHERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT J BROTHERSON M.D. (SOLE PROPRIETOR)
(847) 482-0136
Entity
Organization
Contact information
Practice address
840 S WAUKEGAN RD, 203, LAKE FOREST, IL 60045-2608
(847) 482-0136
Mailing address
840 S WAUKEGAN RD, 203, LAKE FOREST, IL 60045-2608
(847) 482-0136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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