BRANDEN LEE MOSSMAN

EVANSTON, IL
NPI1194184911
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.007003)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NV  PA1713)
Enumeration Date2016-02-22
Last Update Date2019-06-17
Business Address
BRANDEN LEE MOSSMAN P.A.-C
2650 RIDGE AVE # 4210
EVANSTON, IL 60201
Phone number: 847-570-1010
Mailing Address
BRANDEN LEE MOSSMAN P.A.-C
9977 WOODS DR STE B70
SKOKIE, IL 60077-1057
Phone number: 847-663-2655