Blair Brenner

Speech-Language Pathologist · Waukegan, IL

Individual Active NPI

NPI number 1417410036

Practice location

201 N Butrick St
Waukegan, IL 60085-3724
Phone
(224) 303-2660

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NPI record

NPI
1417410036
Entity type
Individual (Type 1)
Enumeration date
April 10, 2019
Last updated
April 10, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

About Blair Brenner

Blair Brenner is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 201 N Butrick St, Waukegan, IL 60085-3724. The NPI number 1417410036 was assigned on April 10, 2019 and the record was last updated on April 10, 2019.

Frequently asked questions

What is the NPI number of Blair Brenner?

The NPI number is 1417410036.

What is the phone number of Blair Brenner?

The phone number listed for the practice location is (224) 303-2660.

Where is Blair Brenner located?

201 N Butrick St, Waukegan, IL 60085-3724.

What is the taxonomy code for Blair Brenner?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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