Individual
MR. BRANDON M MULHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3807 BURTON TRL, CRYSTAL LAKE, IL 60014-2336
(217) 416-3554
Mailing address
3807 BURTON TRL, CRYSTAL LAKE, IL 60014-2336
(217) 416-3554
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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