Individual
DANIELLA DAVIDA BRUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4445 W IRVING PARK RD, 320, CHICAGO, IL 60641
(312) 926-3627
(312) 921-1002
Mailing address
4445 W IRVING PARK RD, 320, CHICAGO, IL 60641
(312) 926-3627
(312) 921-1002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036149946
IL
Other
Enumeration date
03/29/2017
Last updated
11/09/2023
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