Allan Michael Brecher, M.D.
Individual provider Active NPI Orthopaedic Surgery Physician · Berwyn, IL
NPI 1912964313 · NPPES record last updated Aug 20, 2019
Key facts
- NPI
- 1912964313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 036088577 (IL)
- Practice address
- 3231 Euclid Ave Ste 409
Berwyn, IL 60402-3472 - Phone
- (708) 788-2201
- Fax
- (708) 405-2047
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036088577 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berwyn Orthopedic Surgeons, LTD. | Orthopaedic Surgery | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036088577 | IL | Yes |
Addresses
Primary practice location
3231 Euclid Ave Ste 409
Berwyn, IL 60402-3472
Mailing address
PO Box 64568
Phoenix, AZ 85082-4568
Phone (630) 288-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036088577 | Medicaid | IL |
Other providers in Berwyn, IL
- Joanne M Bowen
- Ezrina Bradley
- Marisol Brambila
- Tymeka Branch
- Cameron Joseph Braz
- Megan Elizabeth Brennan
- Brite Dental Berwyn, P.C.
- Kathleen Britten
- Mitchell Charles Britton
- Broadleaf Health and Wellness
All providers in Berwyn, IL · Orthopaedic Surgery Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.