Allen, Bradley David

Allen, Bradley David is an individual health care provider with primary practice located at 676 N Saint Clair St Ste 800 , Chicago IL 60611. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Allen, Bradley David can be contacted via phone (618) 534-5657.

Contact Information

Primary practice address
676 N Saint Clair St Ste 800 Chicago IL 60611
Phone: (618) 534-5657
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125060351 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 69276 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036.142349 Illinois

Profile Details

NPI number 1043506710
LBN Legal business name Allen, Bradley David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2011
Last updated Jul 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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