Individual
BRADFORD EMIL COLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 MAIN ST, STE 580, PEORIA, IL 61602-1065
(309) 637-4266
(309) 637-9836
Mailing address
900 MAIN ST, STE 580, PEORIA, IL 61602-1065
(309) 637-4266
(309) 637-9836
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
05/27/2005
Last updated
07/08/2007
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