Individual
DAVID ALAN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4318 S STATE ST, CHICAGO, IL 60609-3701
(773) 285-9304
(773) 564-3501
Mailing address
PO BOX 746721, ATLANTA, GA 30374-6721
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-112714
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629004965
NPI
IL
Enumeration date
06/25/2006
Last updated
02/17/2023
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