Individual
BRANDON C JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
456 25TH AVE, BELLWOOD, IL 60104-1961
(708) 467-7254
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006607
IL
Other
Enumeration date
05/20/2014
Last updated
06/10/2025
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