Individual
BRYAN S TRAUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 N SHERIDAN RD, #103, CHICAGO, IL 60657
(773) 575-8700
(773) 525-8699
Mailing address
2800 N SHERIDAN RD, #103, CHICAGO, IL 60657
(773) 575-8700
(773) 525-8699
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
363843619
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001618089
BC
—
01
—
034270001
DME
—
05
—
036066257
—
IL
Enumeration date
11/20/2006
Last updated
07/14/2010
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