SearchIllinois122300000X

Brandi Kaner

NPI 1275706301 · on the registry since 2008

Practice

Address
21 Heritage Dr
Suite 100
Bourbonnais, IL 60914
Phone
(815) 936-3232
Fax
(815) 936-3236
Organisation at this address
Provena St Marys Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-04-09

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