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Brenda N Black

  • Female

Medical Specialty

Professional ID

  • NPI: 1245554724
  • PECOS ID: 4385824689
  • Enrollment ID: I20110203000445
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2007

Medical Practices

  • Organization Name: Brenda Black Lcsw Pc
  • Group Practice ID assigned by PECOS: 1254511553
  • Number of Group Practice member: 0

Location

  • Address1: 4256 N Ravenswood
  • Address2: Suite 315
  • City: Chicago
  • State: Illinois
  • Zip Code: 60613
  • Phone Number: (312)718-6996

Location

  • Address1: 717 Main St
  • Address2: 2e
  • City: Evanston
  • State: Illinois
  • Zip Code: 60202
  • Phone Number: (312)718-6996

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):