NPI 1164072831
Brandi Fields
Practice location
- Address
- 6400 W Main St STE 3k, Belleville, IL 62223-3806
- Phone
- (618) 578-3627
- Mailing address
- 1600 Loretta Ave, Cahokia, IL 62206-2305
Registered specialties
Prosthetics Case Management
Primary
Registry record
- NPI
- 1164072831
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Sep 2019
- Record last updated
- 16 Sep 2019
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.