Individual
DR. BRADLEY POWSZOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
7868
OK
208D00000X
General Practice Physician
Primary
7868
OK
Other
Enumeration date
05/01/2020
Last updated
03/05/2025
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