Individual
DR. BRADLEY M HULTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 W MADISON, SUITE 2, CHICAGO, IL 60606
(312) 217-7546
Mailing address
1307 W. 33RD ST, CHICAGO, IL 60606
(630) 205-2335
(773) 376-4944
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-094513
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094513
—
IL
Enumeration date
07/13/2006
Last updated
01/18/2011
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