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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922075951 | NPPES |
| Illinois | MEDICAID | 036106093 |
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