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Individual

BRANDEE LEIGH MATTERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
5949 W 124TH ST, ALSIP, IL 60803-3503
(708) 890-8549

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023678
IL

Other

Enumeration date
08/11/2021
Last updated
04/19/2022
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