Bertumen, J. Bradford Hampshire
Bertumen, J. Bradford Hampshire is an sole proprietor health care provider with primary practice located at 13755 Cicero Ave , Crestwood IL 60418-1824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bertumen, J. Bradford Hampshire can be contacted via phone (708) 385-2400.Contact Information
Primary practice address
13755 Cicero Ave
Crestwood IL 60418-1824
Phone: (708) 385-2400
Fax: (708) 385-2434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036141514 | Illinois |
Profile Details
| NPI number | 1558681577 |
|---|---|
| LBN Legal business name | Bertumen, J. Bradford Hampshire |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2010 |
| Last updated | Oct 23rd, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558681577 | NPPES |
| Illinois | MEDICAID | 036141514 |
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