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Individual

GWENDOLYN G BRUMBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN, CNM

Contact information

Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4366
(773) 521-0537
Mailing address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4366
(773) 521-0537

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
041-227109
IL
367A00000X
Advanced Practice Midwife
Primary
209.003177
IL

Other

Enumeration date
10/23/2006
Last updated
03/11/2011
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