Individual
DR. BRIAN CHRISTOPHER FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 N WINFIELD ROAD, WINFIELD, IL 60190
(630) 933-1600
Mailing address
25 N. WINFIELD RD, WINFIELD, IL 60190
(630) 933-1154
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036134501
IL
Other
Enumeration date
07/01/2011
Last updated
10/13/2014
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