Doctor Name: | MR. HARVEY BRICKMAN |
NPI Number: | 1073544086 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | |
Business Practice Address: | 102 Appian Way Vernon Hills, IL - 600611610 |
Business Phone Number: | 8476807363 |
Business Fax Number: | 7082022474 |
Mailing Address: | 5th Avenue And Roosevelt Road, HINES |
State: | IL |
Postal Code: | 601419910 |
Phone Number: | 7082028387 |
Fax Number: | 7082022474 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |