Individual
DR. JOEL G. BRASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10811 W 143RD ST, SUITE 120, ORLAND PARK, IL 60467-1913
(708) 403-4210
(708) 403-5272
Mailing address
5225 OLD ORCHARD RD, SUITE 10, SKOKIE, IL 60077-4405
(847) 966-8815
(847) 966-8305
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
01041509A
IN
207VE0102X
Reproductive Endocrinology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620606
BLUE CROSS
IL
Enumeration date
08/19/2006
Last updated
07/21/2022
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