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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADLEY J CLODFELTER OD, P.C.

Active Organization

BRADLEY J CLODFELTER OD, P.C. is a Optometrist organization located in CHICAGO, Illinois. NPI 1104072024 is currently active in the NPPES registry. Verify at CMS.

Optometrist · CHICAGO, IL

Registration Details

NPI Number
1104072024
Provider Type
Organization
NPI Issued
Aug 12, 2008 (17.996116758248 yrs)
Last Updated
May 9, 2011
License
046007766 (IL)

Practice Information

Address
3225 W 111TH ST
SUITE 102
CHICAGO, IL, 606552745
Browse IL providers · Browse ZIP 60655
Phone
7732382142
Fax
7732389461
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in CHICAGO, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.