Angle, Brad
Angle, Brad is an individual health care provider with primary practice located at 1875 Dempster St Ste 285 , Park Ridge IL 60068-1157. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Angle, Brad can be contacted via phone (847) 723-7705.Contact Information
Primary practice address
1875 Dempster St Ste 285
Park Ridge IL 60068-1157
Phone: (847) 723-7705
Fax: (847) 723-8675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036069741 | Illinois |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 036069741 | Illinois |
Profile Details
| NPI number | 1427026897 |
|---|---|
| LBN Legal business name | Angle, Brad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427026897 | NPPES |
| Illinois | MEDICAID | 036069741 |
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