Provider Demographics
NPI:1972569754
Name:FOY, BRYAN K (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:K
Last Name:FOY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 WARRENVILLE RD
Mailing Address - Street 2:STE 280
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515
Mailing Address - Country:US
Mailing Address - Phone:630-324-7900
Mailing Address - Fax:630-324-7942
Practice Address - Street 1:2650 WARRENVILLE RD
Practice Address - Street 2:STE 280
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515
Practice Address - Country:US
Practice Address - Phone:630-324-7915
Practice Address - Fax:630-324-7946
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1048046A208G00000X
IL036059378208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
344390OtherDU PAGE GROUP
IL36059378Medicaid
526620OtherCOOK GROUP
202172OtherURBANA ROCKFORD MOLINE
344390OtherDU PAGE GROUP
526620OtherCOOK GROUP
202172OtherURBANA ROCKFORD MOLINE
ILL31195Medicare ID - Type Unspecified
877470Medicare ID - Type Unspecified
IL36059378Medicaid