Blakeman, Bradford

Blakeman, Bradford is an individual health care provider with primary practice located at 2650 Warrenville Rd Ste 280 , Downers Grove IL 60515-2075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Blakeman, Bradford can be contacted via phone (630) 324-7900.

Contact Information

Primary practice address
2650 Warrenville Rd Ste 280 Downers Grove IL 60515-2075
Phone: (630) 324-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1048021 Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 036060663 Illinois
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 1048021 Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036060663 Illinois

Profile Details

NPI number 1447212113
LBN Legal business name Blakeman, Bradford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Dec 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447212113 NPPES
Illinois Other L92675 URBANA
Illinois Other L92675 URBANA
Illinois Other S26620 URBANA
Illinois Other L92675 URBANA
Illinois Other 344390 URBANA
Illinois MEDICAID 36060663 URBANA

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