Doctor Name: | DR. KENNETH P. BRIN |
NPI Number: | 1013982099 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD417581 |
Business Practice Address: | 3825 Highland Ave Tower 2 - Suite 400 Downers Grove, IL - 605151552 |
Business Phone Number: | 6307194799 |
Business Fax Number: | |
Mailing Address: | 75 Remittance Dr, Suite 1787 CHICAGO |
State: | IL |
Postal Code: | 606751787 |
Phone Number: | 6307854343 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2006 |
NPI Last Update Date: | 04/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | MD417581 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |