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Individual

DR. MEREDITH HELEN BRAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4427
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4427

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4055477
IL
208M00000X
Hospitalist Physician
Primary
036130045
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036130045
MEDICAID
IL
01
206147
MEDICARE (GROUP)
IL
01
CE8792
MEDICARE RAILROAD PTAN (GROUP)
IL
01
F400093830
MEDICARE (INDIVIDUAL)
IL
01
P01239424
MEDICARE RAILROAD PTAN (INDIVIDUAL)
IL
Enumeration date
06/18/2009
Last updated
01/18/2018
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