Individual
BRADLEY DAVID ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611
(618) 534-5657
Mailing address
737 N MICHIGAN AVE STE 1600, CHICAGO, IL 60611-6652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125060351
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036.142349
IL
2085R0202X
Diagnostic Radiology Physician
69276
WI
Other
Enumeration date
06/21/2011
Last updated
07/11/2019
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