Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN WADE MECKLENBURG, M.D.
ActiveDR. BRIAN WADE MECKLENBURG, M.D. is a Anesthesiology healthcare provider located in LOVES PARK, Illinois. NPI 1912047085 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · LOVES PARK, IL
Registration Details
- NPI Number
- 1912047085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2007 (19.50539950754 yrs)
- Last Updated
- Jan 13, 2020
- Licenses
-
0101102755 (VA)036.149788 (IL)
Practice Information
- Address
-
2202 HARLEM ROADSUITE 200LOVES PARK, IL, 611112754Browse IL providers · Browse ZIP 61111
- Phone
- 8158774848
- Fax
- 8156543271
- Primary Specialty
-
Anesthesiology
207L00000X
- Additional Specialty
- Anesthesiology
Other Anesthesiology Providers in LOVES PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MOHAMMED J MOHIUDDIN | M.D. | 1417945379 |
| DR. GEORGE R. ARENDS | M.D. | 1780628008 |
| DR. NORBERT C. DUTTLINGER | M.D. | 1407891385 |
| DR. LOWELL DEAN ENSER | M.D. | 1154366888 |
| DR. GARY E.D. OLDENBURG | M.D. | 1376588657 |
| DR. MARIA LAPORTA | M.D. | 1518903483 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.