Coolidge, Bradley Scott

Coolidge, Bradley Scott is an individual health care provider with primary practice located at 20303 Crawford Ave Ste 120 , Olympia Fields IL 60461-1173. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Coolidge, Bradley Scott can be contacted via phone (708) 983-6060.

Contact Information

Primary practice address
20303 Crawford Ave Ste 120 Olympia Fields IL 60461-1173
Phone: (708) 983-6060
Fax: (708) 747-6911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036090825 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036090825 Illinois

Profile Details

NPI number 1700986460
LBN Legal business name Coolidge, Bradley Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Jun 22nd, 2023 - about 3 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 1700986460 NPPES
Illinois MEDICAID 036090825

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