Individual
BRIANNA NICOLE SELIMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045
(224) 271-4250
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(224) 271-4250
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
085007117
IL
363A00000X
Physician Assistant
Primary
085007117
IL
Other
Enumeration date
07/21/2019
Last updated
08/27/2019
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