Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY JACK POLEN, DC
Active Sole ProprietorDR. BRADLEY JACK POLEN, DC is a Chiropractor healthcare provider located in WOOD RIVER, Illinois. NPI 1043894165 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · WOOD RIVER, IL
Registration Details
- NPI Number
- 1043894165
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2021 (5.2535678311703 yrs)
- Last Updated
- Oct 19, 2021
- Licenses
-
2021016090 (MO)038.013756 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
203 S 6TH STWOOD RIVER, IL, 620952345Browse IL providers · Browse ZIP 62095
- Phone
- 6182549355
- Fax
- 6182549351
- Primary Specialty
-
Chiropractor
111N00000X
- Additional Specialty
- Chiropractor
Other Chiropractor Providers in WOOD RIVER, IL
| Name | Credential | NPI |
|---|---|---|
| DR. STEWART WORLAND SMITH III | D.C. | 1982780003 |
| JOHAN C DINKELMANN | DC | 1336200286 |
| DR. ANDREW G. CARR | D.C. | 1629282108 |
| DR. AARON JUSTIN MITCHELL | D.C. | 1871898213 |
| MRS. BRITTANY SUNSHINE MEREDITH | D.C. | 1740723824 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.