Waxman, Bryan

Waxman, Bryan is an individual health care provider with primary practice located at 2101 Waukegan Rd Suite 110, Bannockburn IL 60015-1836. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Waxman, Bryan can be contacted via phone (847) 914-9096.

Contact Information

Primary practice address
2101 Waukegan Rd Suite 110 Bannockburn IL 60015-1836
Phone: (847) 914-9096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-090271 Illinois

Profile Details

NPI number 1356396311
LBN Legal business name Waxman, Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Aug 28th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356396311 NPPES
Illinois MEDICAID 036-090271

Popular Providers