Search › Wisconsin › 235Z00000X
Riley Brotan
NPI 1770150740 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3615 Washington Rd
Kenosha, WI 53144 - Phone
- (262) 358-8267
- Clinicians at this address
- 10
Additional practice sites
- 649 Barron Blvd, Grayslake, IL
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- WI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-28
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 Wisconsin