Individual
BRENDA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14317 E 2000S RD, PEMBROKE TOWNSHIP, IL 60958-3674
(815) 272-1326
Mailing address
14317 E 2000S RD, PEMBROKE TOWNSHIP, IL 60958-3674
(815) 272-1326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041303647
IL
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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