Whalio Doctors

NPI 1356414049

Matthew J Brandon, MD

Practitioner Family Medicine Physician South Elgin, IL

Practice location

Address
455 Briargate Dr., South Elgin, IL 60177
Phone
(847) 622-0506
Fax
(847) 622-0507
Mailing address
PO Box 713260, Chicago, IL 60677-1260

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 036-105926 (IL)
Sports Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 036-105926 (IL)

Registry record

NPI
1356414049
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Nov 2006
Record last updated
4 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.