BRANDI ITHAL

MAYWOOD, IL
NPI1669060042
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  209023222)
Additional Taxonomies163WE0003X Registered Nurse, Emergency
(Licence: IL  041430200)
Enumeration Date2021-01-01
Last Update Date2022-06-03
Business Address
BRANDI ITHAL APRN
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 630-391-0962
Mailing Address
BRANDI ITHAL APRN
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: