Search › Illinois › 207N00000X
Laurence Bradley, M.D
NPI 1639516313 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2230 Huntington Dr N
Algonquin, IL 60102 - Phone
- (847) 603-4146
- Fax
- (847) 960-3675
- Organisation at this address
- Legacy Dermatology Pllc
Womens Healthcare CenterInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 207NS0135X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-03
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