Individual
DR. LAURENCE MARTIN BRADLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2230 HUNTINGTON DR N, ALGONQUIN, IL 60102-4419
(847) 603-4146
(847) 960-3675
Mailing address
2230 HUNTINGTON DR N, ALGONQUIN, IL 60102-4419
(847) 603-4146
(847) 960-3675
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.142867
IL
207NS0135X
Procedural Dermatology Physician
036.142867
IL
Other
Enumeration date
06/04/2013
Last updated
01/03/2023
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