Individual
BRADLEY T BAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
716 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3225
(847) 362-1848
(847) 362-3351
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-0735
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036-114948
IL
207T00000X
Neurological Surgery Physician
38274
IA
207T00000X
Neurological Surgery Physician
D71456
MD
Other
Enumeration date
03/26/2007
Last updated
03/14/2025
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