Individual
RIA MARA L BRIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14315 108TH AVE STE 215, ORLAND PARK, IL 60467-5701
(708) 966-0993
Mailing address
17011 S CREIGHTON DR, LOCKPORT, IL 60441-1326
(708) 527-7665
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209026198
IL
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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