Beresford, Brendan

Beresford, Brendan is an individual health care provider with primary practice located at 201 East Ogden Avenue Suite 116, Hinsdale IL 60521-2655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Beresford, Brendan can be contacted via phone (630) 325-8893.

Contact Information

Primary practice address
201 East Ogden Avenue Suite 116 Hinsdale IL 60521-2655
Phone: (630) 325-8893
Fax: (630) 325-8939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036106093 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-106093 Illinois

Profile Details

NPI number 1922075951
LBN Legal business name Beresford, Brendan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Oct 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922075951 NPPES
Illinois MEDICAID 036106093

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