Brazis, Peter T

Brazis, Peter T is an individual health care provider with primary practice located at 2105 N. Main St , Wheaton IL 60187. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Brazis, Peter T can be contacted via phone (630) 668-8250.

Contact Information

Primary practice address
2105 N. Main St Wheaton IL 60187
Phone: (630) 668-8250
Fax: (630) 668-8916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 36-052950 Illinois

Profile Details

NPI number 1811984669
LBN Legal business name Brazis, Peter T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Mar 19th, 2009 - about 16 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 1811984669 NPPES
Illinois Other 180012223 RR MEDICARE
Illinois MEDICAID 036052950 RR MEDICARE

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