Individual
BRIDGET NIEBRUEGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2000
Mailing address
100 E 14TH ST APT 3208, CHICAGO, IL 60605-3676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006273
IL
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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