Bradford R Egly is a Dwight, Illinois based male podiatrist who is specialized in Podiatry. Active license number of Bradford R Egly for Podiatry is 016004698 in Illinois. Bradford R Egly is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Bradford R Egly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
108 W Main St, Dwight, Illinois, 60420
Phone:
815-584-9000
Fax:
815-584-2261
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1528174489
NPI Enumeration Date:
22 Aug, 2006
NPI Last Update On:
21 Apr, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bradford R Egly are as mentioned below.
License Number
Specialization
State
Status
016004698
Podiatry
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Bradford R Egly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
051548831
Other
Alabama
BCBS AL
65410
Other
Florida
BCBS FLORIDA
P00463492
Other
Alabama
RAILROAD MEDICARE
016004698
Medicaid
Illinois
051005617
Other
Alabama
BCBS AL
051005618
Other
Alabama
BCBS AL
051538406
Other
Alabama
BCBS AL
051005619
Other
Alabama
BCBS AL
059202011
Other
Alabama
BCBS AL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
108 W Main St, Dwight, Illinois
Zip:
60420
Phone Number:
815-584-9000
Fax Number:
815-584-2261
Patients can reach Bradford R Egly at 108 W Main St, Dwight, Illinois or can call to book an appointment on 815-584-9000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.