Individual
DR. JOHN BRAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
351 DELNOR DR, GENEVA, IL 60134
(630) 933-4056
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4056
(630) 933-4057
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036094318
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130942100
ACS US DEPT OF LABOR IL
IL
01
—
206147
MEDICARE GROUP
IL
01
—
4515366
BCBS
IL
01
—
F400410565
MEDICARE INDIVIDUAL
IL
Enumeration date
08/31/2006
Last updated
07/21/2022
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