Brandon Craig Tudor in Chicago - Emergency Medicine
Brandon Craig Tudor - NPI 1417103490
Brandon Craig Tudor is a Emergency Medicine in Chicago, Illinois. Brandon Craig Tudor practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Brandon Craig Tudor is 1417103490. The last update date is 2023-07-21.
Brandon Craig Tudor's current location address is 1900 W Polk St, Chicago, Illinois. You can contact this provider via phone number 3128640060. The mailing address for Brandon Craig Tudor is 1900 W Polk St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandon Craig Tudor |
|---|---|
| Address | 1900 W Polk St, Chicago, Illinois |
| Phone Number | 3128640060 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417103490 |
|---|---|
| Provider Enumeration Date | 2008-08-11 |
| Last Updated Date | 2023-07-21 |
Provider Mailing Address Detail
| Address | 1900 W Polk St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606123723 |
| Phone Number | 3128640060 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | MD60139748 |
|
Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 125-050807 | IL | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brandon Craig Tudor by the Centers for Medicare & Medicaid Services?
The Brandon Craig Tudor has been issued the NPI (National Provider Identifier) 1417103490 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Brandon Craig Tudor is geographically located?
The Brandon Craig Tudor is physically situated at the following location: 1900 W Polk St, Chicago, IL, 606123723.
What is the Brandon Craig Tudor's area of specialization and corresponding taxonomy classification?
The Brandon Craig Tudor's specialty field is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417103490 to Brandon Craig Tudor?
The Centers for Medicare & Medicaid Services originally issued the 1417103490 to Brandon Craig Tudor on 2008-08-11.
As of what date was the information pertaining to Brandon Craig Tudor, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brandon Craig Tudor, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-07-21.