Individual
BRANDI HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8339 S PHILLIPS AVE, CHICAGO, IL 60617-1931
(708) 397-6875
Mailing address
8339 S PHILLIPS AVE, CHICAGO, IL 60617-1931
(708) 397-6875
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7083976875
DME PROVIDER
IL
Enumeration date
10/05/2020
Last updated
10/05/2020
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