Brian Michael White

NPI #1942760715 in Maywood, Illinois

Provider Information

NPI Number: 1942760715
Entity Type: Individual
Name: Brian Michael White
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Mar 20, 2019
Last Updated: May 30, 2023

Practice Location

Address: 2160 S 1ST AVE
City: Maywood
State: Illinois
ZIP Code: 60153-3328
Phone: (708) 216-4943

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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