Active NPI
Victoria Brander, MD
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Practice address
- 680 N Lake Shore Dr
Suite 1028
Chicago, IL 60611-4546 - Phone
- (312) 664-6848
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | IL | Primary |
Addresses
Primary practice location
680 N Lake Shore Dr
Suite 1028
Chicago, IL 60611-4546
Mailing address
680 N Lake Shore Dr
Attn: Lilli Kornblum
Chicago, IL 60611-4546
Phone (312) 475-5535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-075655 | IL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Pandemic Solutions LLC | Past | Accepting new patients | |
| Illinois Bone and Joint Institute | Past | Accepting new patients |
Locations
680 N Lake Shore Dr
Ste 1028
Chicago, IL 60611
Phone (312) 335-9333
9532 Eagle Way
Chicago, IL 60678
680 N Lake Shore Dr
Ste 924
Chicago, IL 60611
Phone (312) 475-5628
680 N Lake Shore Dr
Chicago, IL 60611
Phone (312) 503-6000
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2501 Compass Rd
Ste 125
Glenview, IL 60026
Phone (847) 250-1130
1875 W Dempster St
Ste 405
Park Ridge, IL 60068
Phone (312) 372-6644
Interoperability endpoints
- https://app.meldrx.com/api/fhir/Freedom_IBJI
- https://epicproxy.et1195.epichosted.com/fhirproxy/api/FHIR/R4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Physical Medicine & Rehabilitation
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Orthopaedic Surgery Physician
- Morton Grove, IL
- NPI 1144269051
-
- Pain Medicine (Anesthesiology) Physician
- Chicago, IL
- NPI 1851960876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1275586554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR",
"address_2": "ATTN: LILLI KORNBLUM",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-475-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR",
"address_2": "SUITE 1028",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-664-6848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDER",
"first_name": "VICTORIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.