Individual
DR. BRADFORD LAWRENCE SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 6TH ST, DEPARTMENT OF PEDIATRICS, GREAT LAKES, IL 60088-2833
(847) 688-2255
Mailing address
3001 6TH ST, DEPARTMENT OF PEDIATRICS, GREAT LAKES, IL 60088-2833
(847) 688-2255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101102811
VA
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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