Whalio Doctors

NPI 1033512009

Gaynell Brewer

Practitioner Early Intervention Provider Agency Chicago, IL

Practice location

Address
1009 N Monitor Ave, Chicago, IL 60651-2568
Phone
(312) 719-5499

Registered specialties

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence 1851219 (IL)

Registry record

NPI
1033512009
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Oct 2014
Record last updated
3 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.