Brian Randolph Dyson, DO
Internal Medicine in Olympia Fields, IL. Individual provider (NPI-1).
NPI number1346626041
StatusActive
Last updated in NPPESJun 18, 2018
Details
- NPI
- 1346626041
- Entity type
- Individual (NPI-1)
- Name
- Brian Randolph Dyson
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2015
- Last updated
- Jun 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ED0500 | WV | Yes |
Practice location
20201 Crawford AveOlympia Fields, IL 60461
Phone 708-747-4000 · Fax 708-503-3241
Mailing address
20201 Crawford AveOlympia Fields, IL 60461-1010
Phone 708-747-4000 · Fax 708-503-3241
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