| Brian C Brajcich, | |
|
259 E Erie St Ste 1600, Chicago, IL 60611-3111 | |
| (312) 695-6868 | |
| (312) 695-2729 |
| Full Name | Brian C Brajcich |
|---|---|
| Gender | Male |
| Speciality | Colorectal Surgery (proctology) |
| Experience | 10 Years |
| Location | 259 E Erie St Ste 1600, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578925657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036.148084 (Illinois) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 036148084 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Care Experts | Burr ridge, IL | Home health agency |
| Northwestern Memorial Hospital | Chicago, IL | Hospital |
| Endeavor Health Clinical Operations | Evanston, IL | Hospital |
| Northwestern Medicine Central Dupage Hospital | Winfield, IL | Hospital |
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Shirley Ryan Abilitylab | Chicago, IL | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 4386 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian C Brajcich, 676 N Saint Clair St Fl 6, Chicago, IL 60611-2927 Ph: Not Available | Brian C Brajcich, 259 E Erie St Ste 1600, Chicago, IL 60611-3111 Ph: (312) 695-6868 |