Brautigam, Karen

Brautigam, Karen is an individual health care provider with primary practice located at 1100 Jorie Blvd Ste 220 , Oak Brook IL 60523-4421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brautigam, Karen can be contacted via phone (720) 826-4852.

Contact Information

Primary practice address
1100 Jorie Blvd Ste 220 Oak Brook IL 60523-4421
Phone: (720) 826-4852
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209024770 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 074654 Missouri

Profile Details

NPI number 1821197583
LBN Legal business name Brautigam, Karen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Feb 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821197583 NPPES
Missouri MEDICAID 428768600

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