Individual
BRIAN KAMUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN-BC
Contact information
Practice address
5230 OLD ORCHARD RD, SKOKIE, IL 60077-1034
(847) 328-6632
Mailing address
6505 STAIR ST, DOWNERS GROVE, IL 60516-2487
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209010156
IL
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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