Individual
RICHARD W BRINKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 31ST ST STE 170, DOWNERS GROVE, IL 60515-5581
(800) 991-6117
(888) 812-8191
Mailing address
3810 NORTHDALE BLVD STE 150, TAMPA, FL 33624-1871
(813) 961-1331
(888) 850-8316
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036049777
IL
208600000X
Surgery Physician
38409
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64077696
—
KY
Enumeration date
08/02/2006
Last updated
05/22/2020
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