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Brent Showalter
NPI 1861185951 · on the registry since 2023 · sole proprietor
Practice
- Address
- 4442 N Beacon St Apt 3
Chicago, IL 60640 - Phone
- (573) 289-4745
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-02
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