NPI 1942248794

Mark T Brandt, MD

Practitioner Urology Physician Park Ridge, IL

Practice location

Address: 350 S Northwest Hwy STE 106, Park Ridge, IL 60068-4262
Phone: (847) 470-1500
Fax: (847) 470-1550

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 036084697 (IL)

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Registry record

NPI: 1942248794
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jun 2006
Record last updated: 8 Dec 2021

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.