Search › Illinois › 101YP2500X
Brandon Douglas
NPI 1073050985 · on the registry since 2017
Practice
- Address
- 15303 S 94th Ave Ste 250
Orland Park, IL 60462 - Phone
- (888) 428-7890
- Organisation at this address
- Maxim Healthcare Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Additional practice sites
- 20635 Abbey Woods Ct N Ste 209, Frankfort, IL
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois