Individual
DR. BRANDON PAUL WISINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.B.A., M.S.
Contact information
Practice address
20201 CRAWFORD AVE, ATTN. POSTDOCTORAL EDUCATION, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000
Mailing address
1515 S PRAIRIE AVE UNIT 403, CHICAGO, IL 60605-3019
(815) 529-5949
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.141490
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2014
Last updated
07/15/2022
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