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Individual

BRENDAN BERESFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 EAST OGDEN AVENUE, SUITE 116, HINSDALE, IL 60521-2655
(630) 325-8893
(630) 325-8939
Mailing address
201 EAST OGDEN AVENUE, SUITE 116, HINSDALE, IL 60521-3655
(630) 325-8893
(630) 325-8939

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-106093
IL
2084P0800X
Psychiatry Physician
036106093
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036106093
IL
Enumeration date
03/08/2006
Last updated
10/19/2011
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