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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AMANDA LAINE BRAZIS, DPM

Active

DR. AMANDA LAINE BRAZIS, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in HERRIN, Illinois. NPI 1528354602 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · HERRIN, IL

Registration Details

NPI Number
1528354602
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2011 (15.10758652226 yrs)
Last Updated
Aug 18, 2021
Licenses
016.005557 (IL)
016.005557 (IL)

Practice Information

Address
510 LINCOLN DR
HERRIN, IL, 629486334
Browse IL providers · Browse ZIP 62948
Phone
6189973100
Fax
6189973616
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in HERRIN, IL

Name Credential NPI
CINDY DUONG DPM 1073191656
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.