Brooke A Pierson PA

NPI 1215289137 - Physician Assistant - 363A00000X

NPI Details
NPI 1215289137
Gender Female
Enumeration Date 10/03/2012
Last Updated 05/15/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
901 MCCLINTOCK DRIVE
SUITE 202
BURR RIDGE IL, 60527-0872, US
Phone (888) 220-6432
Fax (630) 654-4253
Business Location
901 MCCLINTOCK DRIVE
SUITE 202
BURR RIDGE IL, 60527-0872, US
Phone (888) 220-6432
Fax (630) 654-4253
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085-004424
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According to our database, Brooke A Pierson PA NPI is 1215289137, taxonomy code is 363A00000X and license number is 085-004424, license state is located at Illinois. Brooke A Pierson PA physically located at 901 Mcclintock Drive, Burr Ridge IL, 60527-0872. NPI Number Brooke A Pierson PA has the Individual type.

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1215289137 NPI number is provided on an as is basis without warranty of any kind. 1215289137 is maintained by the National Plan & Provider Enumeration System. The contents of Brooke A Pierson PA are for informational purposes only.