Individual
DR. BRANDON BERNARD BLEESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-1014
(309) 655-2000
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-0174
(309) 655-2602
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036138942
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
036138942
IL
Other
Enumeration date
06/13/2013
Last updated
04/07/2025
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