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Brian Manburg
NPI 1316181530 · on the registry since 2009 · sole proprietor
Practice
- Address
- 2762 N Lincoln Ave
Chicago, IL 60614 - Phone
- (844) 247-7222
- Fax
- (215) 489-8766
- Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-12
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