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Individual

BRETT WASSINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
259 E ERIE ST FL 13, CHICAGO, IL 60611-3926
(312) 695-6800
(312) 926-6600
Mailing address
259 E ERIE ST FL 13, CHICAGO, IL 60611-3926
(312) 695-6800
(312) 926-6600

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004809
IL
390200000X
Student in an Organized Health Care Education/Training Program
390200000X

Other

Enumeration date
12/08/2010
Last updated
06/17/2020
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