Individual
BRIANA ELIZABETH AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
543 ORCHARD ST, ANTIOCH, IL 60002-3107
(847) 395-3322
Mailing address
543 ORCHARD ST, ANTIOCH, IL 60002-3107
(847) 395-3322
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2502
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003632
STATE
IL
05
—
100060536
—
WI
Enumeration date
10/22/2009
Last updated
06/03/2024
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