Individual
BRIAN E MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036095786
IL
208600000X
Surgery Physician
Primary
DR.0070039
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002220321
BC/BS GROUP #
IL
01
—
020041966
RR MEDICARE PROVIDER#
IL
05
—
036095786
—
IL
01
—
CD5773
RR MEDICARE GROUP#
IL
Enumeration date
08/11/2005
Last updated
01/08/2023
Update your record
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