Search › Illinois › 103TS0200X
Brandon Wright, SSP
NPI 1881181238 · on the registry since 2018
Practice
- Address
- 521 S Pearl St
Macomb, IL 61455 - Phone
- (217) 248-6081
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-20
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