Bradley, John G
Bradley, John G is an individual health care provider with primary practice located at 250 W Kenwood Ave , Decatur IL 62526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bradley, John G can be contacted via phone (217) 876-5800.Contact Information
Primary practice address
250 W Kenwood Ave
Decatur IL 62526
Phone: (217) 876-5800
Fax: (217) 876-5822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Illinois |
Profile Details
| NPI number | 1508843236 |
|---|---|
| LBN Legal business name | Bradley, John G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Popular Providers
-
Costerisan, Dennis D
320 E Central Ave , Decatur IL 62521-4665 -
Cavanagh, Patrick J
550 Southland Dr Ste 2, Decatur IL 62521-4080 -
Junker, Jessie Ann
250 W Kenwood Ave , Decatur IL 62656 -
Smith, Daniel Burtion
4965 E Lost Bridge Rd , Decatur IL 62521-5139 -
Klein, Susan M
250 W Kenwood Ave , Decatur IL 62526 -
Jones, David Anthony
1770 E Lake Shore Dr Suite 305, Decatur IL 62521-3832 -
Omondi, Price P
1800 E Lake Shore Dr , Decatur IL 62521-3810 -
Miller, Timothy A
5160 Hickory Point Frontage Rd , Decatur IL 62526-9778