Dr. Kenneth P. Brin
Internist - Cardiovascular Disease
3825 Highland Ave Tower 2 - Suite 400
Downers Grove
, Illinois 60515-1552
Dr. Kenneth P. Brin
Internist - Cardiovascular Disease
3825 Highland Ave Tower 2 - Suite 400
Downers Grove
, Illinois 60515-1552
(630) 785-4343
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Kenneth P. Brin
- 75 Remittance Dr Suite 1787
- Chicago, IL
- Zip : 60675-1787
- Phone : (630) 785-4343
Second Address
- Dr. Kenneth P. Brin
- 3825 Highland Ave Tower 2 - Suite 400
- Downers Grove, IL
- Zip : 60515-1552
- Phone : (630) 719-4799
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 036-120806 | IL |
| N | 207RC0000X | Internist - Cardiovascular Disease | MD417581 | PA |
National Provider Identifier
| NPI | 1013982099 |
|---|---|
| Provider Name | Dr. Kenneth P. Brin |
| First Address | Chicago, IL 60675-1787 |
| Second Address | Downers Grove, IL 60515-1552 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2006 |
| Last Update Date | 02/04/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036120806 | (05) | IL |
| D74497 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.