Individual
JAMES BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14447 S BENSLEY AVE, BURNHAM, IL 60633-2224
(708) 444-1012
Mailing address
7922 S PAXTON AVE APT 1, CHICAGO, IL 60617-1121
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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