Doctor Name: | ERIN LE BRETON |
NPI Number: | 1013258987 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 209.008919 |
Business Practice Address: | 296 W Fairview Cir Palatine, IL - 600677902 |
Business Phone Number: | 8477671030 |
Business Fax Number: | |
Mailing Address: | 296 W Fairview Cir, PALATINE |
State: | IL |
Postal Code: | 600677902 |
Phone Number: | 8477671030 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2013 |
NPI Last Update Date: | 03/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 209.008919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |