Individual
DR. BRIAN MEDERNACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BRIAN MEDERNACH
Contact information
Practice address
1S072 LUTHER AVE, LOMBARD, IL 60148-4164
(630) 247-8877
Mailing address
1S072 LUTHER AVE, LOMBARD, IL 60148-4164
(630) 247-8877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.126376
IL
207RI0200X
Infectious Disease Physician
036.126376
IL
208000000X
Pediatrics Physician
036.126376
IL
Other
Enumeration date
07/11/2008
Last updated
04/08/2026
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