Individual
ELIZABETH M BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4100 HEALTHWAY DR, AURORA, IL 60504-4163
(630) 851-3105
(630) 978-6669
Mailing address
1870 W GALENA BLVD, AURORA, IL 60506-4356
(630) 859-6700
(630) 859-6941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36094475
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36094475
LICENSE
IL
Enumeration date
07/05/2006
Last updated
03/27/2008
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