Search › Illinois › 1041C0700X
Diana Brandt
NPI 1992539217 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1300 4h Park Rd
Pontiac, IL 61764 - Phone
- (815) 842-6014
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-28
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 Illinois