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Individual

BRAD ANGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1875 DEMPSTER ST STE 285, PARK RIDGE, IL 60068-1157
(847) 723-7705
(847) 723-8675
Mailing address
1875 DEMPSTER ST STE 285, PARK RIDGE, IL 60068-1157
(847) 723-7705
(847) 723-8675

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
036069741
IL
208000000X
Pediatrics Physician
036069741
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036069741
IL
Enumeration date
03/10/2006
Last updated
07/21/2022
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