Provider Demographics
NPI:1811081094
Name:BRITTON, DENISE M (ANP)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:BRITTON
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 CLAIRE CT
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-7635
Mailing Address - Country:US
Mailing Address - Phone:847-467-7423
Mailing Address - Fax:847-556-1715
Practice Address - Street 1:2050 CLAIRE CT
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-7635
Practice Address - Country:US
Practice Address - Phone:847-467-7423
Practice Address - Fax:847-556-1715
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-004562363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK49308 - LAKE COUNTYMedicare UPIN
ILQ27236Medicare UPIN
ILK49307 - COOK COUNTYMedicare PIN
ILK11912Medicare ID - Type UnspecifiedLAKE COUNTY
ILQ27236Medicare UPIN