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Contact Information

ADAM J BRAZE, DO
1653 W CONGRESS PKWY
CHICAGO, IL60612-3833
 Phone: 312-942-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ADAM J BRAZE · (Male)

NPI Number 1336265297
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/22/2007
Last updated 02/11/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 006230
  • IL License # 036121165
  • MI License # 5101015849
Hospital affiliation(s)
  • KINGMAN REGIONAL MEDICAL CENTER - (Acute Care)
    3269 STOCKTON HILL ROAD
    KINGMAN, AZ 86409
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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