Individual
BERNADINE BRATTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 N KNOXVILLE AVE, SUITE 400, PEORIA, IL 61614-5098
(309) 692-6644
Mailing address
5401 N KNOXVILLE AVE, SUITE 400, PEORIA, IL 61614
(309) 692-6644
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7230175
BCBS
IL
Enumeration date
03/26/2008
Last updated
03/26/2008
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