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Mr. William Brundidge JR.
Student in an Organized Health Care Education/Training Program in Maywood, Illinois
NPI 1932633500

William Brundidge JR. is a Student in an Organized Health Care Education/Training Program based in Maywood, IL. William Brundidge JR. practices in Maywood, IL. The NPI Number for William Brundidge JR. is 1932633500 and holds a License No. 125070650 (Illinois).

The current practice location address for William Brundidge JR. is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-4943.

Location: 2160 S 1St Ave, Maywood, IL, 60153-3328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932633500
Provider Name
William Brundidge JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 60153-3328
Phone Number
708-216-4943
Fax Number
Provider Enumeration Date
04/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-4943
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-4943
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
(Illinois)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
125070650 (Illinois)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125070650 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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