Brebach, Elissa S
Brebach, Elissa S is an individual health care provider with primary practice located at 4201 W Medical Center Dr Medical Imaging Dept, Mchenry IL 60050-8409. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Brebach, Elissa S can be contacted via phone (815) 759-0800.Contact Information
Primary practice address
4201 W Medical Center Dr Medical Imaging Dept
Mchenry IL 60050-8409
Phone: (815) 759-0800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 36111827 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036111827 | Illinois |
Profile Details
| NPI number | 1407054216 |
|---|---|
| LBN Legal business name | Brebach, Elissa S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Nov 1st, 2023 - about last year |
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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