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Individual

KAREN BRAUTIGAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8741 S GREENWOOD AVE, CHICAGO, IL 60619-7061
(630) 521-3132
Mailing address
12120 CONWAY RD, SAINT LOUIS, MO 63141-8213
(314) 251-4833
(314) 251-8712

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
074654
MO
363L00000X
Nurse Practitioner
Primary
209024770
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
428768600
MO
Enumeration date
09/21/2006
Last updated
07/30/2025
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