Anstadt, Brad

Anstadt, Brad is an individual health care provider with primary practice located at 675 W North Ave Ste 107, Melrose Park IL 60160-1622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Anstadt, Brad can be contacted via phone (708) 450-4510.

Contact Information

Primary practice address
675 W North Ave Ste 107 Melrose Park IL 60160-1622
Phone: (708) 450-4510
Fax: (708) 450-9361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036065303 Illinois

Profile Details

NPI number 1235134727
LBN Legal business name Anstadt, Brad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jun 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235134727 NPPES
Illinois MEDICAID 036065303
Illinois Other 180028216

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