Brandon C John, PA-C
Physician Assistant in Bellwood, IL. Individual provider (NPI-1).
NPI number1982016325
StatusActive
Last updated in NPPESJun 10, 2025
Details
- NPI
- 1982016325
- Entity type
- Individual (NPI-1)
- Name
- Brandon C John
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 20, 2014
- Certification date
- Jun 10, 2025
- Last updated
- Jun 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085.006607 | IL | Yes |
Practice location
456 25th AveBellwood, IL 60104-1961
Phone 708-467-7254
Mailing address
Po Box 746715Atlanta, GA 30374-6715
Phone 773-352-1515 · Fax 312-929-0373
Other practice locations
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Milwaukee, WI 53215-4330
Phone 414-649-7299
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