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Individual

DR. CAROLYN S. BRECKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-4600
Mailing address
4651 N KNOX AVE, CHICAGO, IL 60630-4029
(312) 864-4618

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
IL

Other

Enumeration date
07/22/2006
Last updated
07/08/2007
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