| Kurt J Brotherson | |
|
840 S Waukegan Rd 203 Lake Forest IL 60045-2608 | |
| (847) 482-0136 | |
| Not Available |
| Full Name | Kurt J Brotherson |
|---|---|
| Speciality | Family Medicine |
| Location | 840 S Waukegan Rd, Lake Forest, Illinois |
| Authorized Official Name and Position | Kurt J Brotherson (SOLE PROPRIETOR) |
| Authorized Official Contact | 8474820136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kurt J Brotherson 840 S Waukegan Rd 203 Lake Forest IL 60045-2608 Ph: (847) 482-0136 | Kurt J Brotherson 840 S Waukegan Rd 203 Lake Forest IL 60045-2608 Ph: (847) 482-0136 |
| NPI Number | 1609228683 |
|---|---|
| Provider Enumeration Date | 07/01/2016 |
| Last Update Date | 07/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609228683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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