Individual
VLADISLAVA BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6106 N MCVICKER AVE, CHICAGO, IL 60646-3811
(312) 714-0017
Mailing address
6106 N MCVICKER AVE, CHICAGO, IL 60646-3811
(312) 714-0017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209024584
IL
Other
Enumeration date
07/13/2023
Last updated
10/06/2023
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