Bradley, Sara M

Bradley, Sara M is an individual health care provider with primary practice located at 675 N Saint Clair St , Chicago IL 60611-5975. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Bradley, Sara M can be contacted via phone (312) 695-8630.

Contact Information

Primary practice address
675 N Saint Clair St Chicago IL 60611-5975
Phone: (312) 695-8630
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036140172 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 229694 New York

Profile Details

NPI number 1487873808
LBN Legal business name Bradley, Sara M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Sep 2nd, 2016 - about 8 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 1487873808 NPPES
New York MEDICAID 02869285

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