Brandon, Matthew J

Brandon, Matthew J is an individual health care provider with primary practice located at 455 Briargate Dr. , South Elgin IL 60177. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Brandon, Matthew J can be contacted via phone (847) 622-0506.

Contact Information

Primary practice address
455 Briargate Dr. South Elgin IL 60177
Phone: (847) 622-0506
Fax: (847) 622-0507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036-105926 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-105926 Illinois

Profile Details

NPI number 1356414049
LBN Legal business name Brandon, Matthew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Aug 4th, 2023 - 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 1356414049 NPPES
Illinois MEDICAID 036105926 3
Illinois Other 4532366

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