Mccall, Brian R

Mccall, Brian R is an individual health care provider with primary practice located at 7447 W Talcott Ave Suite 500, Chicago IL 60631-3745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mccall, Brian R can be contacted via phone (773) 631-7898.

Contact Information

Primary practice address
7447 W Talcott Ave Suite 500 Chicago IL 60631-3745
Phone: (773) 631-7898
Fax: (773) 631-3005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036113624 Illinois

Profile Details

NPI number 1942282322
LBN Legal business name Mccall, Brian R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Feb 4th, 2015 - about 9 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 1942282322 NPPES
Other 131128300 US DEPT OF LABOR
Other P00238306 US DEPT OF LABOR
MEDICAID 036113624 US DEPT OF LABOR
Other 0021604007 US DEPT OF LABOR
Other 0242720001 US DEPT OF LABOR

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