Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LAURENCE MARTIN BRADLEY JR., M.D.
Active Sole ProprietorDR. LAURENCE MARTIN BRADLEY JR., M.D. is a Dermatology healthcare provider located in ALGONQUIN, Illinois. NPI 1639516313 is currently active in the NPPES registry. Verify at CMS.
Dermatology · ALGONQUIN, IL
Registration Details
- NPI Number
- 1639516313
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2013 (13.20509922352 yrs)
- Last Updated
- Jan 3, 2023
- Licenses
-
036.142867 (IL)036.142867 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2230 HUNTINGTON DR NALGONQUIN, IL, 601024419Browse IL providers · Browse ZIP 60102
- Phone
- 8476034146
- Fax
- 8479603675
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in ALGONQUIN, IL
| Name | Credential | NPI |
|---|---|---|
| DR. VIKRAM J KHANNA | MD | 1598824732 |
| LAUREN MARIE BOSHNICK | MD | 1093219610 |
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.