Individual
CLAYTON JOSEPH BRINSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036167389
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06183567
—
MS
05
—
2389033
—
LA
Enumeration date
01/04/2007
Last updated
07/24/2024
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