Individual
DR. BRADLEY CLODFELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3225 W 111TH ST, SUITE 102, CHICAGO, IL 60655-2745
(773) 238-2142
(773) 238-9461
Mailing address
3225 W 111TH ST, SUITE 102, CHICAGO, IL 60655-2745
(773) 238-2142
(773) 238-9461
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007766
IL
Other
Enumeration date
01/08/2007
Last updated
03/29/2011
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