Individual
DR. BRADLEY LANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MCHD/BCHD, MS
Contact information
Practice address
223 JACKSON BLVD, SUITE #1275, CHICAGO, IL 60606
(201) 724-0381
Mailing address
88 E WACKER PLACE, APARTMENT 3705, CHICAGO, IL 60601
(201) 724-0381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034507
IL
Other
Enumeration date
08/25/2023
Last updated
08/29/2023
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