Individual
DR. MICHELLE ANNE BRANNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, ND
Contact information
Practice address
1013 E 31ST ST, LAGRANGE PARK, IL 60526-1218
(708) 447-2468
(630) 444-1656
Mailing address
1650 E MAIN ST, ST. CHARLES, IL 60174-2373
(630) 444-0066
(630) 444-1656
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
038010197
IL
111NN1001X
Nutrition Chiropractor
038010197
IL
111NS0005X
Sports Physician Chiropractor
038010197
IL
Other
Enumeration date
12/19/2006
Last updated
11/19/2018
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