Individual
BRANDON THOMAS ALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC4028, CHICAGO, IL 60637-1443
(773) 702-6842
(773) 834-0063
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
—
—
207L00000X
Anesthesiology Physician
Primary
125085608
IL
207R00000X
Internal Medicine Physician
125085608
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/06/2019
Last updated
05/21/2026
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