Individual
DR. BRENT BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2320 N DAMEN AVE, SUITE 1R, CHICAGO, IL 60647-3359
(773) 489-0001
(773) 489-0003
Mailing address
2800 N TALMAN AVE, UNIT F, CHICAGO, IL 60618-7898
(630) 430-8147
(773) 478-7047
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009882
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636659
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/14/2007
Last updated
07/08/2007
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