Dougherty, Brian

Dougherty, Brian is an individual health care provider with primary practice located at 3420 Illinois St , North Chicago IL 60088. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dougherty, Brian can be contacted via phone (847) 688-6755.

Contact Information

Primary practice address
3420 Illinois St North Chicago IL 60088
Phone: (847) 688-6755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 125.062127 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 125062127 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.136528 Illinois

Profile Details

NPI number 1194091991
LBN Legal business name Dougherty, Brian
Credentials MB, BCH, BAO
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated Apr 4th, 2024 - about 7 months 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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