# DR. BRANDON P KOLASKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548327729
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038-007885 | IL | — |
| 111N00000X | Chiropractor | 038.007885 | IL | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 10/05/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01632069 | BCBS PROVIDER | IL |