Jeffrey Theodore Brasky in Park Ridge - Internal Medicine
Jeffrey Theodore Brasky - NPI 1891976981
Jeffrey Theodore Brasky is a Internal Medicine in Park Ridge, Illinois. Jeffrey Theodore Brasky practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jeffrey Theodore Brasky is 1891976981. The last update date is 2018-03-17.
Jeffrey Theodore Brasky's current location address is 711 W Devon Ave, Park Ridge, Illinois. You can contact this provider via phone number 8476963176 and fax number 8476962678. The mailing address for Jeffrey Theodore Brasky is 711 W Devon Ave, Park Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeffrey Theodore Brasky |
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Address | 711 W Devon Ave, Park Ridge, Illinois |
Phone Number | 8476963176 |
Fax Number | 8476962678 |
Sole Proprietor | Y |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1891976981 |
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Provider Enumeration Date | 2007-11-17 |
Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
Address | 711 W Devon Ave |
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City | Park Ridge |
State | Illinois (IL) |
Post Code | 600684713 |
Phone Number | 8476963176 |
Fax Number | 8476962678 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 125-053381 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the Jeffrey Theodore Brasky's 1891976981?
The Jeffrey Theodore Brasky's NPI (National Provider Identifier) Number is 1891976981. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jeffrey Theodore Brasky?
The Jeffrey Theodore Brasky is physically situated at 711 W Devon Ave, in the city of Park Ridge, state of IL, with the postal code 600684713.
What is Jeffrey Theodore Brasky's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey Theodore Brasky's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891976981 to Jeffrey Theodore Brasky?
The Jeffrey Theodore Brasky received its 1891976981 assignment from the Centers for Medicare & Medicaid Services on 2007-11-17.
When was the Jeffrey Theodore Brasky's information last updated?
The Jeffrey Theodore Brasky's information was last updated on 2018-03-17.
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