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Search › Illinois › 363A00000X

Bradley Ivan, PA-C

NPI 1598232910 · on the registry since 2018 · sole proprietor

Practice

Address
251 E Huron St
Chicago, IL 60611
Phone
(312) 926-2000
Organisation at this address
Northwestern
Northwestern Memorial Hospital
Northwestern Memorial Hospital
Northwestern Memorial Hospital
Northwestern Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,688

Additional practice sites

  • 2551 N Clark St Ste 203, Chicago, IL

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-23

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