Individual
DR. BRIAN MEDERNACH
Active
Individual
DR. BRIAN MEDERNACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BRIAN MEDERNACH
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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