Organization
BRAVO & SAN JUAN SC
Active
Other names
Antonio Bravo MD, SC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM B MILLER (OFFICE MANAGER)
(630) 758-8610
Entity
Organization
Contact information
Practice address
1200 S YORK RD, SUITE 4120, ELMHURST, IL 60126-5630
(630) 833-1666
(630) 833-1690
Mailing address
1200 S YORK RD, SUITE 4120, ELMHURST, IL 60126-5630
(630) 833-1666
(630) 833-1690
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Enumeration date
09/28/2006
Last updated
05/15/2009
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