Individual
BRUCE BRANTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
626 BETHANY RD, DEKALB, IL 60115-4939
(815) 756-1521
Mailing address
4029 N HARVARD AVE, ARLINGTON HEIGHTS, IL 60004-7949
(847) 392-4684
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036064606
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064606
—
IL
01
—
098414
HEALTH ALLIANCE
IL
Enumeration date
01/23/2007
Last updated
11/17/2019
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