Individual
DR. BRIAN PATRICK DUMAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15030 S RAVINIA AVE, SUITE 38, ORLAND PARK, IL 60462-3256
(708) 364-1600
(708) 364-1695
Mailing address
15030 S RAVINIA AVE, SUITE 38, ORLAND PARK, IL 60462-3256
(708) 364-1600
(708) 364-1695
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001635627
BLUE CROSS BLUE SHIELD
IL
01
—
20694
ADVOCATE HELATH PARTNERS
IL
Enumeration date
01/17/2007
Last updated
07/09/2007
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