Individual
JONATHAN TYLER BRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 E HURON ST, SUITE 1-200, CHICAGO, IL 60611-2909
(312) 503-7975
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
125.075521
IL
Other
Enumeration date
08/17/2016
Last updated
06/11/2020
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