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Brian Michael Braithwaite, MD
Plastic and Reconstructive Surgery Physician in Chicago, Illinois
NPI 1518020072

Brian Michael Braithwaite is a Plastic and Reconstructive Surgery Physician based in Chicago, IL and is specialized in Plastic and Reconstructive Surgery. Brian Michael Braithwaite practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Brian Michael Braithwaite is 1518020072 and holds a License No. 036096170 (Illinois).

The current practice location address for Brian Michael Braithwaite is 601 W Randolph St, Chicago, IL and can be reached out via phone at 312-258-9100 and via fax at 312-258-1219.

Location: 601 W Randolph St, Chicago, IL, 60661-2232
person
Provider Profile Details
NPI Number
1518020072
Provider Name
Brian Michael Braithwaite
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
601 W Randolph St, Chicago, IL, 60661-2232
Phone Number
312-258-9100
Fax Number
312-258-1219
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2702050216061101 05 IL
institution
Provider Business Practice Location Address Details
Address
601 W Randolph St
City
State
Zip
60661-2232
Phone Number
312-258-9100
Fax Number
312-258-1219
person
Provider Business Mailing Address Details
Address
601 W Randolph St
City
State
Zip
60661-2232
Phone Number
312-258-9100
Fax Number
312-258-1219
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
036096170 (Illinois)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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