Brad Angle in Park Ridge - Clinical Genetics (m.d.)

Brad Angle - NPI 1427026897

Brad Angle is a Clinical Genetics (m.d.) in Park Ridge, Illinois. Brad Angle practices all healthcare services and medical treatments related to Clinical Genetics (m.d.). The NPI Number for Brad Angle is 1427026897. The last update date is 2022-07-21.

Brad Angle's current location address is 1875 Dempster St Ste 285, Park Ridge, Illinois. You can contact this provider via phone number 8477237705 and fax number 8477238675. The mailing address for Brad Angle is 1875 Dempster St Ste 285, Park Ridge, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Brad Angle
Address 1875 Dempster St Ste 285, Park Ridge, Illinois
Phone Number 8477237705
Fax Number 8477238675
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1427026897
Provider Enumeration Date 2006-03-10
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 1875 Dempster St Ste 285
City Park Ridge
State Illinois (IL)
Post Code 600681157
Phone Number 8477237705
Fax Number 8477238675

Provider's Primary Taxonomy Detail

Speciality Clinical Genetics (m.d.)
Taxonomy 207Sg0201X
Licence No 36069741
Definition:
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36069741 IL --

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FAQs about Brad Angle

What is the unique 10-digit identification code issued to Brad Angle by the Centers for Medicare & Medicaid Services?

The Brad Angle has been assigned the NPI (National Provider Identifier) 1427026897 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Brad Angle is geographically located?

The Brad Angle is physically situated at the following location: 1875 Dempster St Ste 285, Park Ridge, IL, 600681157.

What is the Brad Angle's specialty and taxonomy code?

The Brad Angle's specialty is Clinical Genetics (m.d.), and the corresponding taxonomy code is 207Sg0201X.

On what date did the Brad Angle receive the assignment of its 1427026897 from the Centers for Medicare & Medicaid Services?

The Brad Angle was issued its 1427026897 by the Centers for Medicare & Medicaid Services on 2006-03-10.

When was the Brad Angle's information last updated?

The Brad Angle's information was last updated on 2022-07-21.

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