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Bradford Egly, DPM

NPI 1528174489 · on the registry since 2006

Practice

Address
108 W Main St
Dwight, IL 60420
Phone
(815) 584-9000
Fax
(815) 584-2261

Registry record

Primary taxonomy
213E00000X
213E00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-04-21

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 Illinois