Individual
DR. JOSEPH BRADLEY BAVARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 E HURON ST, F5-704, CHICAGO, IL 60611-2908
(312) 695-0061
Mailing address
251 E HURON ST, F5-704, CHICAGO, IL 60611-2908
(312) 695-0061
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036138494
IL
390200000X
Student in an Organized Health Care Education/Training Program
R72750
AZ
Other
Enumeration date
07/29/2011
Last updated
02/13/2016
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