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NPI Verification

National Provider Identifier: 1942248794

Mark T Brandt, MD

Individual Provider

Credentials

MD

Primary Specialty

Urology

Code: 208800000X

Practice Address

350 S NORTHWEST HWY STE 106

PARK RIDGE, IL 600684262

Phone: 847-470-1500

NPI Enumeration Date

June 3, 2006

NPI Number

1942248794

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Mark Brandt, MD - NPI 1942248794 | Provider Verification | HormoneMap