Individual
DR. CHRISTOPHER BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9910 W 55TH ST, COUNTRYSIDE, IL 60525-3612
(708) 352-6166
(708) 352-3864
Mailing address
9910 W 55TH ST, COUNTRYSIDE, IL 60525-3612
(708) 352-6166
(708) 352-3864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036073572
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036073572
—
IL
Enumeration date
05/16/2006
Last updated
07/08/2007
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