DR. BRIAN PROCTOR


Address: 675 W North Ave, Ste 107, Melrose Park, IL 60160-1622
Phone: 7084504510

DR. BRIAN PROCTOR (NPI# 1649276833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649276833
Entity Type Individual
Full Name DR. BRIAN PROCTOR
Credential D.O.
Practice Address 675 W North Ave
Ste 107
Melrose Park
IL 60160-1622
Practice Telephone 7084504510
Practice Fax Number 7084509361
Mailing Telephone 7084504510
Mailing Fax Number 7084509361
Enumeration Date 2005-06-22
Last Update Date 2020-06-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 036089352 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RAILROAD MEDICARE 180029414 01
IL 036089352 05

Other Providers BRIAN PROCTOR

NPI Name Taxonomy Address Enumeration
1932101128 Brian D Proctor Psychiatry & Neurology 701 Hewitt Blvd, Red Wing, MN 55066-2848 2005-06-01
1659867596 Brian Lowell Proctor Pediatrics 404 N Keene St, Columbia, MO 65201-6626 2018-07-03

Office Location

Street Address 675 W NORTH AVE
STE 107
City MELROSE PARK
State IL
Zip Code 60160-1622

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235134727 Brad Anstadt Ophthalmology 675 W North Ave, Ste 107, Melrose Park, IL 60160-1622 2005-06-20
1578920484 Dupage Medical Group, Ltd. Prosthetic/Orthotic Supplier 675 W North Ave, Melrose Park, IL 60160-1634 2016-01-22
1356733034 Jessica Lynn Dye Physician Assistant 675 W North Ave, Suite 607, Melrose Park, IL 60160-1634 2015-03-04
1861893463 Paige D Formsma Audiologist 675 W North Ave, Suite 110, Melrose Park, IL 60160-1634 2014-09-15
1083014047 Jennifer Morales Psychologist 675 W North Ave, Ste 306, Melrose Park, IL 60160-1634 2014-08-27
1538577754 Elizabeth Bojarskyj Pharmacist 675 W North Ave, Melrose Park, IL 60160-1634 2014-07-31
1780091538 Bryan David Erce Dentist 675 W North Ave, Suite 307, Melrose Park, IL 60160-1634 2014-07-14
1740619246 Merissa Mann Physician Assistant 675 W North Ave, Suite 402, Melrose Park, IL 60160-1634 2013-11-05
1770916074 Yonatan Rosenblum Psychologist 675 W North Ave, Suite 306, Melrose Park, IL 60160-1634 2013-08-10
1538509666 Hai Solomon M.d.s.c. Obstetrics & Gynecology 675 W North Ave, Suite 512, Melrose Park, IL 60160-1634 2013-07-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295217651 Kairsten Thies Registered Nurse 1225 W. Lake St., Melrose Park, IL 60160 2018-09-02
1780195701 Julia Mccann-khludenev Nurse Practitioner 153 1/2 Broadway Ave., Melrose Park, IL 60160 2017-10-17
1629595749 Katarzyna Teresa Buksa Speech-Language Pathologist 906 Walton St., Melrose Park, IL 60160 2017-08-29
1972955102 Erika Lazaro Counselor 1414 Main Street, Melrose Park, IL 60160 2016-07-12
1811344096 Margaret Ann Kress Nurse Practitioner 675 W North Ave Ste 402, Melrose Park, IL 60160 2016-05-18
1942578703 Rachna Shah Md Sc Internal Medicine 675 West North Ave, #310, Melrose Park, IL 60160 2011-12-08
1033486741 Stephanie Lamonica Pharmacist 850 West North Ave, T0837, Melrose Park, IL 60160 2011-11-23
1285913384 Melinda Vazquez Social Worker 1414 Main, Melrose Park, IL 60160 2011-08-08
1629373212 Advanced Wellness Clinics Internal Medicine 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 2011-01-13
1508188525 Guillermo Fernando Mora Family Medicine 1111 W Superior, Suite #306, Melrose Park, IL 60160 2010-02-17
Find all providers in zip 60160

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235134727 Brad Anstadt Ophthalmology 675 W North Ave, Ste 107, Melrose Park, IL 60160-1622 2005-06-20
1346363082 Laura M Cozzi, M.d., P.C. Ophthalmology 675 W North Ave, Suite 301, Melrose Park, IL 60160-1634 2007-04-09
1750495321 Tennenbaum and Anstadt, Ltd Ophthalmology 675 W North Ave, Suite 107, Melrose Park, IL 60160-1634 2006-08-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104433473 Chicagoland Eye Consultants, Sc Ophthalmology 477 E Butterfield Rd Ste 101, Lombard, IL 60148-4880 2020-09-30
1649894189 Lakeshore Ophthalmology, LLC Ophthalmology 2525 S Michigan Ave Fl 8, Chicago, IL 60616-2315 2020-06-01
1053940460 Neil L Ross Ophthalmology 950 N Michigan Ave Apt 5403, Chicago, IL 60611-7535 2020-04-07
1932730256 Cereesa E. Longest Md Sc Ophthalmology 225 Oak Knoll Rd, Barrington, IL 60010-2615 2020-01-27
1497314181 Ophthalmology Surgery Center of Illinois, LLC Ophthalmology 1300 N Arlington Heights Rd Ste 150, Itasca, IL 60143-3128 2019-06-06
1770149049 Rop Consultants LLC Ophthalmology 5228 N Virginia Ave, Chicago, IL 60625-4015 2019-05-13
1962969881 Monique Munro Ophthalmology 1855 W Taylor Street. Suite 3138 Illinois Eye and Infir, Chicago, IL 60612 2019-02-27
1679039457 Laser and Cataract Institute, LLC Ophthalmology 22200 Wolf Rd, Frankfort, IL 60423-7721 2019-02-15
1063987345 Chataam Optical LLC Ophthalmology 8741 S Greenwood Ave Ste 108, Chicago, IL 60619-7058 2018-10-12
1922507474 Dekalb Eye Consultants, LLC Ophthalmology 1075 Featherstone Rd Ste 10, Rockford, IL 61107-5906 2018-02-09
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Competitor

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City MELROSE PARK
Zip Code 60160

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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