Dr. Igal Breitman, MD
Surgery in Rockford, IL. Individual provider (NPI-1).
NPI number1881973014
StatusActive
Last updated in NPPESNov 22, 2023
Details
- NPI
- 1881973014
- Entity type
- Individual (NPI-1)
- Name
- Dr. Igal Breitman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2011
- Certification date
- Nov 22, 2023
- Last updated
- Nov 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 464 | WI | Yes |
| 208600000X | Surgery | 35-121676 | OH | |
| 208600000X | Surgery | 64663 | CT | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 662 | TN |
Other names
- Igal Brightman (Former Name)
Practice location
2300 N Rockton AveRockford, IL 61103-3619
Phone 815-971-2000
Mailing address
122 E College AveAppleton, WI 54911-5741
Phone 920-996-3264 · Fax 920-830-5910
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