Individual
JACOB RICHARD BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC8016, CHICAGO, IL 60637-1443
(773) 702-1000
(773) 834-0748
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125083656
IL
Other
Enumeration date
06/20/2024
Last updated
06/27/2024
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