NPI 1629020128

Brandon Barksdale

Practitioner Rehabilitation Practitioner Chicago, IL

Practice location

Address: 129 W 108th St, Chicago, IL 60628-3452
Phone: (773) 568-0884

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1629020128
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2006
Record last updated: 13 Jul 2026

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.