Individual
MARK BRIMMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-4200
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-4200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-011947
IL
363A00000X
Physician Assistant
Primary
MA065973
PA
363A00000X
Physician Assistant
OA007015
PA
Other
Enumeration date
09/18/2024
Last updated
05/01/2026
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