Brazdziunas, Dana

Brazdziunas, Dana is an individual health care provider with primary practice located at 225 E Chicago Ave Box 16, Chicago IL 60611-2605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Brazdziunas, Dana can be contacted via phone (312) 227-6720.

Contact Information

Primary practice address
225 E Chicago Ave Box 16 Chicago IL 60611-2605
Phone: (312) 227-6720
Fax: (312) 227-9418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 36074853 Illinois

Profile Details

NPI number 1790759009
LBN Legal business name Brazdziunas, Dana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jun 29th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790759009 NPPES
Illinois MEDICAID 36074853

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