Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY MICHAEL BRADLEY, MD
ActiveDR. TIMOTHY MICHAEL BRADLEY, MD is a Plastic and Reconstructive Surgery healthcare provider located in ST CHARLES, Illinois. NPI 1568682508 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · ST CHARLES, IL
Registration Details
- NPI Number
- 1568682508
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2007 (19.303354602321 yrs)
- Last Updated
- Jul 16, 2015
- Licenses
-
036-082971 (IL)036-082971 (IL)
Practice Information
- Address
-
3310 W MAIN STSUITE 200ST CHARLES, IL, 601751000Browse IL providers · Browse ZIP 60175
- Phone
- 6308976044
- Fax
- 6306593502
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
- Additional Specialty
- Plastic and Reconstructive Surgery
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.