Carbajal, Brenda

Carbajal, Brenda is an individual health care provider with primary practice located at 12200 Western Ave , Blue Island IL 60406-1398. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Carbajal, Brenda can be contacted via phone (708) 631-2781.

Contact Information

Primary practice address
12200 Western Ave Blue Island IL 60406-1398
Phone: (708) 631-2781
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1013523620
LBN Legal business name Carbajal, Brenda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2020
Last updated Mar 14th, 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.

Request for update

Popular Providers