Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0127X | Trauma Surgeon | 125.077254 | IL |
NPI | 1467067942 |
---|---|
Provider Name | Dr. Francesca Bryan |
First Address | Chicago, IL 60612-3723 |
Second Address | Chicago, IL 60612-3723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2020 |
Last Update Date | 11/09/2020 |