Individual
CASE EDWARD BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064-3037
(575) 791-9705
Mailing address
2245 W SCHOOL ST, CHICAGO, IL 60618-6321
(575) 791-9705
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
041545307
IL
163WC0200X
Critical Care Medicine Registered Nurse
976892
TX
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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