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NPI Code Detail

MEDICARE: MR. BRIAN FILIPPINI PA-C

MEDICARE: MR. BRIAN FILIPPINI PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085004396IL

General Provider Information

NPI Number : 1902156045
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN FILIPPINI PA-C
Provider Business Mailing Address
First Line : PO BOX 746715
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6715
Country : US
Telephone Number : 773-253-3933
Fax Number : 773-437-6780
Provider Business Practice Location Address
First Line : 18 CHICAGO AVE
Second Line :
City : OAK PARK
State : IL
Zip : 60302-2402
Country : US
Telephone Number : 773-253-3933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2012
Last Update Date : 09/16/2025

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Directions to “ MR. BRIAN FILIPPINI PA-C” Practice Location

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