Individual
BRANDICE MARIE BRAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
5301 KEYSTONE CT, ROLLING MEADOWS, IL 60008-3811
(847) 392-5440
(847) 385-0294
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674
(630) 547-5040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004405
IL
Other
Enumeration date
08/16/2012
Last updated
02/20/2024
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