Branch, Jeffrey

Branch, Jeffrey is an individual health care provider with primary practice located at 2160 S First Ave (17W740 22Nd Street, Oakbrook Terrace, Il. 60181), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Branch, Jeffrey can be contacted via phone (630) 627-7399.

Contact Information

Primary practice address
2160 S First Ave (17W740 22Nd Street, Oakbrook Terrace, Il. 60181) Maywood IL 60153
Phone: (630) 627-7399
Fax: (630) 627-7079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 36099022 Illinois

Profile Details

NPI number 1528032513
LBN Legal business name Branch, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated May 31st, 2022 - about 2 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 1528032513 NPPES
Illinois MEDICAID 36099022

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