Provider Demographics
NPI:1184861486
Name:BRAND, NECHAMA YAFFA (DMD)
Entity Type:Individual
Prefix:
First Name:NECHAMA
Middle Name:YAFFA
Last Name:BRAND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N. MICHIGAN AVE
Mailing Address - Street 2:#153
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3601
Mailing Address - Country:US
Mailing Address - Phone:312-726-1901
Mailing Address - Fax:312-377-5053
Practice Address - Street 1:30 N. MICHIGAN AVENUE #1503
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3601
Practice Address - Country:US
Practice Address - Phone:312-726-1901
Practice Address - Fax:312-726-1901
Is Sole Proprietor?:No
Enumeration Date:2009-01-08
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.027760122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist