Individual
MR. BRANDON BARKSDALE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 W 108TH ST, CHICAGO, IL 60628-3452
(773) 568-0884
Mailing address
129 W 108TH ST, CHICAGO, IL 60628-3452
(773) 568-0884
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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