Individual
BRANDON M BUNGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 850, CHICAGO, IL 60611-3124
(312) 695-6180
(312) 695-6189
Mailing address
9500 EUCLID AVENUE, CLEVELAND, OH 44195
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.138862
OH
207RH0003X
Hematology & Oncology Physician
Primary
036.156133
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
12/09/2024
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