Individual
DR. BRANDON BARNETT GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
5841 S MARYLAND AVE # MC6040, CHICAGO, IL 60637-1443
(773) 702-2500
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4245400
IL
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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