Individual
BRANDON THOMAS ALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2650 RIDGE AVE STE 1304, EVANSTON, IL 60201-1700
(847) 570-2700
(847) 570-2822
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
207R00000X
Internal Medicine Physician
Primary
125085608
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/06/2019
Last updated
07/05/2025
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