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Bradley Dorng

NPI 1558146001 · on the registry since 2023 · sole proprietor

Practice

Address
2606 W 104th St
Chicago, IL 60655
Phone
(773) 443-0815

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163W00000X
163W00000X
Licence states on file
WI, IL, IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-20

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