Brinkman, Richard W

Brinkman, Richard W is an individual health care provider with primary practice located at 1101 31St St Ste 170 , Downers Grove IL 60515-5581. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brinkman, Richard W can be contacted via phone (800) 991-6117.

Contact Information

Primary practice address
1101 31St St Ste 170 Downers Grove IL 60515-5581
Fax: (888) 812-8191
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 38409 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 036049777 Illinois

Profile Details

NPI number 1417964180
LBN Legal business name Brinkman, Richard W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated May 22nd, 2020 - about 4 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 1417964180 NPPES
Kentucky MEDICAID 64077696

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