Individual
SARA M BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST, CHICAGO, IL 60611-5975
(312) 695-8630
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-9797
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036140172
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
229694
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02869285
—
NY
Enumeration date
04/24/2007
Last updated
09/02/2016
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