Bronner, Abraham J

Bronner, Abraham J is an individual health care provider with primary practice located at 4440 W 95Th Street , Oak Lawn IL 60653. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bronner, Abraham J can be contacted via phone (708) 346-5520.

Contact Information

Primary practice address
4440 W 95Th Street Oak Lawn IL 60653
Phone: (708) 346-5520
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 036069940 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036069940 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 40213 Kentucky

Profile Details

NPI number 1558339937
LBN Legal business name Bronner, Abraham J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Nov 3rd, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558339937 NPPES
Kentucky Other P00928221 RR MEDICARE
Kentucky MEDICAID 036069940 RR MEDICARE
Kentucky MEDICAID 7100012610 RR MEDICARE
Kentucky Other P00197522 RR MEDICARE

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