Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY LANE ASHPOLE, M.D.
Active Sole ProprietorDR. BRADLEY LANE ASHPOLE, M.D. is a Plastic Surgery healthcare provider located in ITASCA, Illinois. NPI 1457516866 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · ITASCA, IL
Registration Details
- NPI Number
- 1457516866
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2008 (18.031851443084 yrs)
- Last Updated
- May 10, 2024
- License
-
036113854 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1107 N PROSPECT AVEITASCA, IL, 601431408Browse IL providers · Browse ZIP 60143
- Phone
- 8478848346
- Fax
- 8477390969
- Primary Specialty
-
Plastic Surgery
208200000X
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.