Individual
BRIAN M MCFAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 E. WOODFIELD ROAD, SUITE 1000, SCHAUMBURG, IL 60173-5113
(847) 240-2211
(847) 240-2418
Mailing address
1701 E. WOODFIELD ROAD, SUITE 1000, SCHAUMBURG, IL 60173-5113
(847) 240-2211
(847) 240-2418
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A100564
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633897
BCBS IL GROUP NUMBER
IL
01
—
320084889
GROUP TAX ID
IL
Enumeration date
12/13/2007
Last updated
01/07/2011
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