Individual
BRADLY MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-1800
(312) 695-4741
Mailing address
675 N SAINT CLAIR ST STE 18-250, CHICAGO, IL 60611-5980
(312) 695-1800
(312) 695-4741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008637
IL
Other
Enumeration date
07/15/2020
Last updated
01/17/2022
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