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Contact Information

SANDRA BRUDENT
5910 W DIVISION ST
CHICAGO, IL60651-1031
 Phone: 773-777-7112
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for SANDRA BRUDENT · (Female)

NPI Number 1407211089
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2015
Last updated 12/23/2015 - About 10 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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