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1164463782
BRENDA R GREENE
LIBERTYVILLE, IL
NPI
1164463782
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Former Name
BRENDA R ROTHSCHILD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: IL 209-000123)
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
Mrs. BRENDA R GREENE CRNA
1800 HOLLISTER DR SUITE 202
LIBERTYVILLE, IL 60048-5263
Phone number: 847-549-6473
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Mailing Address
Mrs. BRENDA R GREENE CRNA
PO BOX 6329
VERNON HILLS, IL 60061-6329
Phone number: 847-549-6473
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