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NPI 1619532553

NPI 1619532553 : JOSEPH BRINKMAN MD : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1619532553
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH BRINKMAN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/06/2019
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    Last Update Date     |    11/25/2025
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Provider Practice Location Address
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    Address Line         |    1611 W HARRISON ST STE 400 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60612-4861
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    Country              |    US
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    Telephone            |    877-632-6637
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    Fax                  |    708-409-5179
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Provider Business Mailing Address
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    Address Line         |    PO BOX 735263 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60673-5263
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    Country              |    US
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    Telephone            |    877-632-6637
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    Fax                  |    708-409-5179
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    01095552A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    207XX0005X
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    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
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    License Number       |    036173525
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    036173525
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    License Number State |    IL
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Taxonomy #4
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    01095552A
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    License Number State |    IN
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