Kurt J Brotherson
NPI #1609228683 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1609228683
- Entity Type
- Organization
- Organization Name
- Kurt J Brotherson
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 1, 2016
- Last Updated
- Jul 1, 2016
Practice Location
- Address
- 840 S WAUKEGAN RD
- Address 2
- 203
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-2608
- Phone
- (847) 482-0136
Authorized Official
- Name
- DR. KURT J BROTHERSON, M.D.
- Title
- SOLE PROPRIETOR
- Phone
- (847) 482-0136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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