Individual
SUSAN JEAN BRACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
393 SOUTH WILLIAMS ROAD, INVERNESS, IL 60067-4559
(847) 477-0823
Mailing address
393 SOUTH WILLIAMS ROAD, INVERNESS, IL 60067-4559
(847) 477-0823
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
041.266305
IL
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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