Individual
BRADLEY KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 855, CHICAGO, IL 60612-5113
(312) 942-6644
Mailing address
1725 W HARRISON ST STE 855, CHICAGO, IL 60612-5113
(312) 942-6644
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
125074526
IL
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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