Individual
MRS. CARRIE E GOLDEN-BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.069488
IL
207W00000X
Ophthalmology Physician
36-69488
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623637
BCBS NUMBER
IL
05
—
036069488
—
IL
Enumeration date
09/08/2005
Last updated
08/30/2012
Update your record
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