Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 36-096139 | IL |
NPI | 1861402984 |
---|---|
Provider Name | Dr. Brian Christopher Toolan |
First Address | Chicago, IL 60674-1447 |
Second Address | Lockport, IL 60441-2404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 24/03/2021 |