SearchWisconsin225200000X

Bradley Ilk

NPI 1124507165 · on the registry since 2018

Practice

Address
2626 N 76th St Ste 105
Wauwatosa, WI 53213
Phone
(414) 774-7794
Fax
(414) 607-3971
Organisation at this address
Lmg, Inc
Jay L. Mackman, Dds
Affiliated Health Of Wisconsin Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Additional practice sites

  • 6211 Durand Ave Ste 202, Mount Pleasant, WI

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin