Individual
DR. TIMOTHY MICHAEL BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3310 W MAIN ST, SUITE 200, ST CHARLES, IL 60175-1000
(630) 897-6044
(630) 659-3502
Mailing address
3310 W MAIN ST, SUITE 200, ST CHARLES, IL 60175-1000
(630) 859-6800
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
036-082971
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036-082971
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-082971
—
IL
Enumeration date
05/01/2007
Last updated
07/16/2015
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