Provider Demographics
NPI:1073544086
Name:BRICKMAN, HARVEY (PA)
Entity Type:Individual
Prefix:MR
First Name:HARVEY
Middle Name:
Last Name:BRICKMAN
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:5TH AVENUE AND ROOSEVELT ROAD
Mailing Address - Street 2:
Mailing Address - City:HINES
Mailing Address - State:IL
Mailing Address - Zip Code:60141-9910
Mailing Address - Country:US
Mailing Address - Phone:708-202-8387
Mailing Address - Fax:708-202-2474
Practice Address - Street 1:102 APPIAN WAY
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1610
Practice Address - Country:US
Practice Address - Phone:847-680-7363
Practice Address - Fax:708-202-2474
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical