Individual
DR. WARREN MARK BRANDWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 774-8000
(773) 792-5124
Mailing address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 774-8000
(773) 792-5124
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036125775
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036125775
—
IL
Enumeration date
06/21/2007
Last updated
02/05/2016
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