Brian Powell

General Practice Physician · Maywood, IL

Individual Active NPI

NPI number 1225422330

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328
Phone
(708) 327-3436

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NPI record

NPI
1225422330
Entity type
Individual (Type 1)
Enumeration date
March 26, 2015
Last updated
May 30, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 036146884 IL

About Brian Powell

Brian Powell is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 2160 S 1st Ave, Maywood, IL 60153-3328. The NPI number 1225422330 was assigned on March 26, 2015 and the record was last updated on May 30, 2019.

Brian Powell lists a license in the registry: #036146884 (IL) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Powell?

The NPI number is 1225422330.

What is the phone number of Brian Powell?

The phone number listed for the practice location is (708) 327-3436.

Where is Brian Powell located?

2160 S 1st Ave, Maywood, IL 60153-3328.

What is the taxonomy code for Brian Powell?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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