WILLIAM BRUNDIDGE

MAYWOOD, IL
NPI1932633500
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125070650)
Additional Taxonomies208000000X Pediatrics
(Licence: IL  125070650)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-20
Last Update Date2017-08-13
Business Address
Mr. WILLIAM BRUNDIDGE
2160 S 1ST AVE LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153-3328
Phone number: 708-216-4943
Mailing Address
Mr. WILLIAM BRUNDIDGE
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-4943