Bradley, Timothy Michael

Bradley, Timothy Michael is an individual health care provider with primary practice located at 3310 W Main St Suite 200, St Charles IL 60175-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Bradley, Timothy Michael can be contacted via phone (630) 897-6044.

Contact Information

Primary practice address
3310 W Main St Suite 200 St Charles IL 60175-1000
Phone: (630) 897-6044
Fax: (630) 659-3502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 036-082971 Illinois
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 036-082971 Illinois

Profile Details

NPI number 1568682508
LBN Legal business name Bradley, Timothy Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 16th, 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 1568682508 NPPES
Illinois MEDICAID 036-082971

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