NPI 1427212539 · live from the CMS NPI Registry
Michelle Diane Brehm, O.D.
Optometrist in Chicago, IL. National Provider Identifier 1427212539, active.
NPI record
| NPI | 1427212539 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2531 N Clark St, Chicago, IL 60614 |
| Practice phone | 773-281-3560 |
| Mailing address | 10134 Flint St, Overland Park, KS 66214 |
| Enumerated | July 17, 2008 |
| Last updated | November 30, 2009 |
| Sole proprietor | Yes |
| Other names | Michelle Chopp |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 2008019711 (MO) |
| Optometrist primary | 152W00000X | 046010307 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.