Provider Demographics
NPI:1225079577
Name:FRENCH, BRIAN JAMES (DPM)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:JAMES
Last Name:FRENCH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8620 S PULASKI RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60652-3633
Mailing Address - Country:US
Mailing Address - Phone:773-585-8200
Mailing Address - Fax:773-585-8004
Practice Address - Street 1:8620 S PULASKI RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-3633
Practice Address - Country:US
Practice Address - Phone:773-585-8200
Practice Address - Fax:773-585-8004
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016003838213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL744140Medicare PIN
IL0859430001Medicare NSC