Individual
BRADLEY SCOTT COOLIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20303 CRAWFORD AVE STE 120, OLYMPIA FIELDS, IL 60461-1173
(708) 983-6060
(708) 747-6911
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-1353
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036090825
IL
207RP1001X
Pulmonary Disease Physician
Primary
036090825
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090825
—
IL
Enumeration date
09/23/2006
Last updated
06/22/2023
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