Organization
BRAD JONES PROGRESSIVE PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD JONES (PRESIDENT)
(847) 480-7833
Entity
Organization
Contact information
Practice address
3000 DUNDEE RD, NORTHBROOK, IL 60062-2422
(847) 480-7833
Mailing address
3000 DUNDEE RD, SUITE 418, NORTHBROOK, IL 60062-2422
(847) 480-7833
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
056 003367
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633043
BC BS PROVIDER NUMBER
IL
Enumeration date
03/28/2007
Last updated
01/10/2012
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