Individual
BRIAN PATRICK FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 N IL ROUTE 31, CRYSTAL LAKE, IL 60012
(815) 356-5200
(815) 356-5262
Mailing address
420 N IL ROUTE 31, CRYSTAL LAKE, IL 60012-3709
(815) 356-5200
(815) 356-5262
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
036-142459
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036142459
STATE LICENSE
IL
Enumeration date
08/11/2011
Last updated
10/19/2018
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