Individual
DR. BEVERLEE A BRISBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10330 S ROBERTS RD, MIDAMERICA ORTHOPAEDICS, S.C., PALOS HILLS, IL 60465-1971
(708) 237-7200
(708) 237-7201
Mailing address
10330 S ROBERTS RD, MIDAMERICA ORTHOPAEDICS, S.C., PALOS HILLS, IL 60465-1971
(708) 237-7200
(708) 237-7201
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036-103749
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250013909
RAILROAD MEDICARE PROVIDER NUMBER
IL
Enumeration date
05/18/2006
Last updated
12/20/2021
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