Gregg S Bradford in Chicago - Chiropractor

Gregg S Bradford - NPI 1154493211

Gregg S Bradford is a Chiropractor in Chicago, Illinois. Gregg S Bradford practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gregg S Bradford is 1154493211. The last update date is 2008-02-28.

Gregg S Bradford's current location address is 6237 W Touhy Ave, Chicago, Illinois. You can contact this provider via phone number 7736316161 and fax number 7736317380. The mailing address for Gregg S Bradford is 6237 W Touhy Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregg S Bradford
Address 6237 W Touhy Ave, Chicago, Illinois
Phone Number 7736316161
Fax Number 7736317380
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1154493211
Provider Enumeration Date 2006-11-14
Last Updated Date 2008-02-28

Provider Mailing Address Detail

Address 6237 W Touhy Ave
City Chicago
State Illinois (IL)
Post Code 60646
Phone Number 7736316161
Fax Number 7736317380

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1618745 IL BCBS
4349426 IL AETNA

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FAQs about Gregg S Bradford

What is the unique 10-digit identification code issued to Gregg S Bradford by the Centers for Medicare & Medicaid Services?

The Gregg S Bradford has been assigned the NPI (National Provider Identifier) 1154493211 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Gregg S Bradford's facilities are geographically located?

The facilities of Gregg S Bradford are physically situated at the following location: 6237 W Touhy Ave, Chicago, IL, 60646.

What is the Gregg S Bradford's specialty and taxonomy code?

The Gregg S Bradford's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.

On what date did Gregg S Bradford receive its 1154493211 assignment from the Centers for Medicare & Medicaid Services?

The Gregg S Bradford was assigned its 1154493211 on 2006-11-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Gregg S Bradford, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gregg S Bradford, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-28.

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