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Contact Information

CARRIE E GOLDEN BRENNER, MD
800 AUSTIN
SUITE 151
EVANSTON, IL60202
 Phone: 847-328-2300
 Fax: 847-492-1988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for CARRIE E GOLDEN BRENNER · (Female)

NPI # 1750375572
Status Active
Credentials MD
Entity Individual
Enumeration date 09/08/2005
Last updated 08/30/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.069488
  • IL License # 36-69488
  • IL Medicaid 036069488
  • IL Other 01623637 BCBS NUMBER
  • IL Other 01623637 BLUE SHIELD NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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