Individual
DR. DENNIS RICHARD BRIGHTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
422 TRACY CT, CRYSTAL LAKE, IL 60014-6288
(815) 363-6132
Mailing address
422 TRACY CT, CRYSTAL LAKE, IL 60014-6288
(815) 363-6132
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036103977
IL
2084P0800X
Psychiatry Physician
56574-20
WI
Other
Enumeration date
10/08/2005
Last updated
01/15/2016
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