Search › Illinois › 213ES0103X
Amanda Brazis, DPM
NPI 1528354602 · on the registry since 2011
Practice
- Address
- 510 Lincoln Dr
Herrin, IL 62948 - Phone
- (618) 997-3100
- Fax
- (618) 997-3616
- Organisation at this address
- Southern Orthopedic Associates Sc
Southern Illinois Orthopedic Center,LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 49
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 213E00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-18
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