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Search › Illinois › 101YA0400X

Brenden Fasken

NPI 1043991961 · on the registry since 2023

Practice

Address
710 Peoria St
Peru, IL 61354
Phone
(815) 780-0690
Fax
(815) 410-1937
Organisation at this address
Maitri Path To Wellness Pllc
Maitri Path To Wellness Pllc
Maitri Path To Wellness Pllc
Wellness And Recovery With Maitri, Inc. Nfp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Male
Record last updated
2024-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois