Mcculloch, Brian Peter

Mcculloch, Brian Peter is an individual health care provider with primary practice located at 1875 Dempster St Suite 325, Park Ridge IL 60068-1186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Mcculloch, Brian Peter can be contacted via phone (847) 723-8610.

Contact Information

Primary practice address
1875 Dempster St Suite 325 Park Ridge IL 60068-1186
Phone: (847) 723-8610
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 036076949 Illinois

Profile Details

NPI number 1013943117
LBN Legal business name Mcculloch, Brian Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jun 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013943117 NPPES
Illinois Other 036076949 ILLINOIS STATE LICENSE NU
Illinois Other 36-4024817 ILLINOIS STATE LICENSE NU

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