Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANDA BROCK, LPN
Active Sole ProprietorCHANDA BROCK, LPN is a Licensed Practical Nurse healthcare provider located in SWANSEA, Illinois. NPI 1598050924 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · SWANSEA, IL
Registration Details
- NPI Number
- 1598050924
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2011 (15.147172910613 yrs)
- Last Updated
- Jun 14, 2011
- License
-
2005009072 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 EDWARDS DR APT 5SWANSEA, IL, 622268204Browse IL providers · Browse ZIP 62226
- Phone
- 6185701401
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.