Bagan, Bradley T

Bagan, Bradley T is an individual health care provider with primary practice located at 712 S Milwaukee Ave , Libertyville IL 60048-3279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Bagan, Bradley T can be contacted via phone (847) 362-1848.

Contact Information

Primary practice address
712 S Milwaukee Ave Libertyville IL 60048-3279
Phone: (847) 362-1848
Fax: (847) 362-3351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X D71456 Maryland
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036-114948 Illinois
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 38274 Iowa

Profile Details

NPI number 1346367190
LBN Legal business name Bagan, Bradley T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Oct 8th, 2014 - about 10 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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