Individual
BRIAN MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN-CNP
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2000
Mailing address
2650 RIDGE AVE, SUITE 1223, EVANSTON, IL 60201-1700
(847) 570-2428
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209035035
IL
363LA2100X
Acute Care Nurse Practitioner
209.035035
IL
Other
Enumeration date
03/18/2026
Last updated
03/25/2026
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