Brogan Repp

NPI #1295431823 in Round Lake, Illinois

Provider Information

NPI Number: 1295431823
Entity Type: Individual
Name: Brogan Repp
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Feb 6, 2023
Last Updated: Jan 5, 2024

Practice Location

Address: 34159 N HAINESVILLE RD
City: Round Lake
State: Illinois
ZIP Code: 60073-9790
Phone: (847) 722-0063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Nurse Practitioner	363L00000X	Primary

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