Marly Bradley in Chicago - Pediatric Emergency Medicine

Marly Bradley - NPI 1437171600

Marly Bradley is a Pediatric Emergency Medicine in Chicago, Illinois. Marly Bradley practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Marly Bradley is 1437171600. The last update date is 2007-07-09.

Marly Bradley's current location address is 2449 Reliable Pkwy, Chicago, Illinois. You can contact this provider via phone number 3178706705 and fax number 3178700499. The mailing address for Marly Bradley is 2449 Reliable Pkwy, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Marly Bradley
Address 2449 Reliable Pkwy, Chicago, Illinois
Phone Number 3178706705
Fax Number 3178700499
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1437171600
Provider Enumeration Date 2006-07-24
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 2449 Reliable Pkwy
City Chicago
State Illinois (IL)
Post Code 606860001
Phone Number 3178706705
Fax Number 3178700499

Provider's Primary Taxonomy Detail

Speciality Pediatric Emergency Medicine
Taxonomy 2080P0204X
Licence No 1052950
Definition:
A pediatrician who has special qualifications to manage emergencies in infants and children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200281390 IN --

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FAQs about Marly Bradley

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

The Marly Bradley has been assigned the NPI (National Provider Identifier) 1437171600 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Marly Bradley's physical address?

The Marly Bradley is physically located at 2449 Reliable Pkwy, in the city of Chicago, IL, with the postal code 606860001.

What is Marly Bradley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Marly Bradley is Pediatric Emergency Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080P0204X.

When did the Marly Bradley receive its 1437171600?

The Marly Bradley was issued its 1437171600 on 2006-07-24, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Marly Bradley most recently updated or revised?

The details related to Marly Bradley, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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