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Individual

DR. BRAD ANSTADT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
675 W NORTH AVE, STE 107, MELROSE PARK, IL 60160-1622
(708) 450-4510
(708) 450-9361
Mailing address
675 W NORTH AVE, STE 107, MELROSE PARK, IL 60160-1622
(708) 450-4510
(708) 450-9361

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036065303
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036065303
IL
01
180028216
RR MEDICARE
Enumeration date
06/20/2005
Last updated
06/02/2025
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