Individual
BRANDON MERICAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-4500
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-4500
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036168835
IL
390200000X
Student in an Organized Health Care Education/Training Program
276357
MA
Other
Enumeration date
06/17/2018
Last updated
05/22/2024
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