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Mary L Brandenburg, PA
Physician Assistant in Carbondale, Illinois
NPI 1649385873

Mary L Brandenburg is a Physician Assistant based in Carterville, IL. Mary L Brandenburg practices in Carbondale, IL and has the professional credentials of PA. The NPI Number for Mary L Brandenburg is 1649385873 and holds a License No. 085-001021 (Illinois).

The current practice location address for Mary L Brandenburg is 1301 E Walnut St, Carbondale, IL and can be reached out via phone at 618-457-3371 and via fax at 618-457-8931. You can also correspond with Mary L Brandenburg through the mailing address at PO BOX 577, CARTERVILLE, IL - 62918-0577 (mailing address contact number: 618-985-8221).

Location: 1301 E Walnut St, Carbondale, IL, 62918-0577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649385873
Provider Name
Mary L Brandenburg
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1301 E Walnut St, Carbondale, IL, 62918-0577
Phone Number
618-457-3371
Fax Number
618-457-8931
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370966854015 05 IL
CF3444 01 IL MEDICARE RR
105008 01 IL HEALTH ALLIANCE
085001021 01 IL STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1301 E Walnut St
City
Carbondale
State
Illinois
Zip
62901-5004
Phone Number
618-457-3371
Fax Number
618-457-8931
person
Provider Business Mailing Address Details
Address
1301 E Walnut St
City
Carbondale
State
Illinois
Zip
62901-5004
Phone Number
618-457-3371
Fax Number
618-457-8931
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085-001021 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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