Individual
ALYSSA BRAITHWAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 UNIVERSITY CIR, NORTH CHICAGO, IL 60064-3047
(646) 510-0169
Mailing address
1516 UNIVERSITY CIR, NORTH CHICAGO, IL 60064-3047
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
736045
NY
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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