Individual
BRIAN HARTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527-0872
(888) 220-6432
(630) 654-4253
Mailing address
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527-0872
(888) 220-6432
(630) 654-4253
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-109595
IL
207RI0200X
Infectious Disease Physician
Primary
036109595
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109595
—
IL
Enumeration date
09/03/2006
Last updated
12/20/2021
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