Provider Demographics
NPI:1265602965
Name:ARNETT, BRANDY (RN)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:
Last Name:ARNETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 W SCHICK RD
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-3007
Mailing Address - Country:US
Mailing Address - Phone:630-372-1100
Mailing Address - Fax:630-372-6230
Practice Address - Street 1:800 BIESTERFIELD RD STE 565
Practice Address - Street 2:EBERLE PROF BLDG
Practice Address - City:ELK GROVE
Practice Address - State:IL
Practice Address - Zip Code:60007-3362
Practice Address - Country:US
Practice Address - Phone:847-439-9488
Practice Address - Fax:847-439-9498
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041311884207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL212204Medicare PIN
IL212203Medicare PIN