Individual
BRADLEY DUNCAN CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, BLD 54 , ROOM 118, MAYWOOD, IL 60153
(708) 216-8757
(708) 216-1259
Mailing address
2160 S FIRST AVE, BLD 54 , ROOM 118, MAYWOOD, IL 60153
(708) 216-8757
(708) 216-1259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36075671
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36075671
—
IL
Enumeration date
02/14/2006
Last updated
10/26/2020
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