Individual
DR. J. BRADFORD HAMPSHIRE BERTUMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13755 CICERO AVE, CRESTWOOD, IL 60418-1824
(708) 385-2400
(708) 385-2434
Mailing address
901 MCCLINTOCK DR, STE 202, BURR RIDGE, IL 60527-0871
(888) 220-6432
(630) 734-4715
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036141514
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036141514
—
IL
Enumeration date
06/02/2010
Last updated
10/23/2017
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