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1750565677
CAROL IRENE BRANKA
EVANSTON, IL
NPI
1750565677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085000561)
Enumeration Date
2007-12-27
Last Update Date
2007-12-27
Business Address
Ms. CAROL IRENE BRANKA PAC
355 RIDGE AVE SAINT RANCIS HOSPITAL PHYSICIAN ASSSISTANCE
EVANSTON, IL 60202-3328
Phone number: 847-316-6370
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Mailing Address
Ms. CAROL IRENE BRANKA PAC
405 N WABASH AVE # 2607
CHICAGO, IL 60611-3591
Phone number: 312-836-1171
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