Linda Brubaker MD

NPI 1053385195 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1053385195
Gender Female
Enumeration Date 02/15/2006
Last Updated 11/22/2013
Entity Type Individual
Active Over 12 years ago
Practice Location
2160 S 1ST AVE
(RUSSO ENT., RM. 1016)
Phone (708) 216-8563
Fax (708) 216-2275
Business Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
Phone (708) 216-8563
Fax (708) 216-2275
Taxonomy Code 207V00000X
License State Illinois
License Number 36072594
Remove 1053385195 NPI Number

According to our database, Linda Brubaker MD NPI is 1053385195, taxonomy code is 207V00000X and license number is 36072594, license state is located at Illinois. Linda Brubaker MD physically located at 2160 S 1st Ave, Maywood IL, 60153. NPI Number Linda Brubaker MD has the Individual type.

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1053385195 NPI number is provided on an as is basis without warranty of any kind. 1053385195 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Brubaker MD are for informational purposes only.