Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 036.144742 | IL |
N | 207XS0117X | Orthopaedic Spine Surgeon | 70077-21 | WI |
N | 207XS0117X | Orthopaedic Spine Surgeon | R2818 | TX |
NPI | 1073873675 |
---|---|
Provider Name | Joseph Patrick Brindise |
First Address | Schaumburg, IL 60195-3503 |
Second Address | Schaumburg, IL 60195-3503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2012 |
Last Update Date | 20/11/2018 |