Brian Powell

NPI #1225422330 in Maywood, Illinois

Provider Information

NPI Number: 1225422330
Entity Type: Individual
Name: Brian Powell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Enumeration Date: Mar 26, 2015
Last Updated: May 30, 2019

Practice Location

Address: 2160 S 1ST AVE
City: Maywood
State: Illinois
ZIP Code: 60153-3328
Phone: (708) 327-3436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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