Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 041311884 | IL |
NPI | 1265602965 |
---|---|
Provider Name | Brandy Arnett |
First Address | Bartlett, IL 60103-3007 |
Second Address | Elk Grove, IL 60007-3362 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2008 |
Last Update Date | 12/05/2008 |