Bryan, Nancy Elizabeth

Bryan, Nancy Elizabeth is an individual health care provider with primary practice located at 15905 S Frederick St Ste 105, Plainfield IL 60586-7707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bryan, Nancy Elizabeth can be contacted via phone (630) 646-5020.

Contact Information

Primary practice address
15905 S Frederick St Ste 105 Plainfield IL 60586-7707
Phone: (630) 646-5020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.117275 Illinois

Profile Details

NPI number 1316064272
LBN Legal business name Bryan, Nancy Elizabeth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2007
Last updated Oct 21st, 2008 - about 16 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 1316064272 NPPES
Illinois Other 2220936 BCBS
Illinois MEDICAID 036117275 1 BCBS

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