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Dr. Christopher Brenner, MD

Family Medicine in Countryside, IL. Individual provider (NPI-1).

NPI number1629020102
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1629020102
Entity type
Individual (NPI-1)
Name
Dr. Christopher Brenner
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 16, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036073572ILYes

Practice location

9910 W 55th St
Countryside, IL 60525-3612

Phone 708-352-6166 · Fax 708-352-3864

Mailing address

9910 W 55th St
Countryside, IL 60525-3612

Phone 708-352-6166 · Fax 708-352-3864

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