Brisbin, Beverlee A

Brisbin, Beverlee A is an individual health care provider with primary practice located at 10330 S Roberts Rd Midamerica Orthopaedics, S.C., Palos Hills IL 60465-1971. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Brisbin, Beverlee A can be contacted via phone (708) 237-7200.

Contact Information

Primary practice address
10330 S Roberts Rd Midamerica Orthopaedics, S.C. Palos Hills IL 60465-1971
Phone: (708) 237-7200
Fax: (708) 237-7201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036-103749 Illinois

Profile Details

NPI number 1013960244
LBN Legal business name Brisbin, Beverlee A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Dec 20th, 2021 - 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 1013960244 NPPES
Illinois Other 250013909 RAILROAD MEDICARE PROVIDER NUMBER

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