Individual
DR. BRANDON WILLIAM SEGREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 E OGDEN AVE STE 202, WESTMONT, IL 60559-1296
(630) 528-3215
(630) 528-3219
Mailing address
700 E OGDEN AVE STE 202, WESTMONT, IL 60559-1296
(630) 528-3215
(630) 528-3219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036156993
IL
207R00000X
Internal Medicine Physician
1063901189
MI
208M00000X
Hospitalist Physician
036156993
IL
Other
Enumeration date
05/03/2018
Last updated
06/10/2021
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