Individual
DR. BRIAN J. COLE
Active
Individual
DR. BRIAN J. COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036095694
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095694
—
IL
01
—
1633878
BCBS
IL
01
—
207067
MEDICARE PTAN LOCALITY 16
IL
01
—
207073
MEDICARE PTAN LOCALITY 15
IL
01
—
5908567
AETNA
—
01
—
DA4902
RAILROAD MEDICARE PTAN
—
01
—
P00072972
RAILROAD MEDICARE
—
Enumeration date
01/11/2006
Last updated
03/01/2023
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