Individual
DR. BRADLEY EDWARD HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.035254
IL
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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