Individual
MARC J BRESLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9000 WAUKEGAN RD, SUITE 200, MORTON GROVE, IL 60053-2127
(847) 375-3000
Mailing address
900 RAND RD STE 300, SUITE 200, DES PLAINES, IL 60016-2359
(847) 375-3000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-104096
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036-104096
IL
Other
Enumeration date
09/01/2005
Last updated
12/07/2021
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