Individual
MS. CAROL IRENE BRANKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
355 RIDGE AVE, SAINT RANCIS HOSPITAL PHYSICIAN ASSSISTANCE, EVANSTON, IL 60202-3328
(847) 316-6370
Mailing address
405 N WABASH AVE, # 2607, CHICAGO, IL 60611-3591
(312) 836-1171
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IL
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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