| Dr Laurence Martin Bradley Jr, MD | |
|
2230 Huntington Dr N, Algonquin, IL 60102-4419 | |
| (847) 603-4146 | |
| (847) 960-3675 |
| Full Name | Dr Laurence Martin Bradley Jr |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 13 Years |
| Location | 2230 Huntington Dr N, Algonquin, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639516313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | 036.142867 (Illinois) | Secondary |
| 207N00000X | Dermatology | 036.142867 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Dermatology Pllc | 1951776434 | 2 |
| West Suburban Dermatology And Cosmetic Surgery | 6204890460 | 5 |
| Entity Name | West Suburban Dermatology & Cosmetic Surgery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477617207 PECOS PAC ID: 6204890460 Enrollment ID: O20041117000365 |
| Entity Name | Legacy Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053024554 PECOS PAC ID: 1951776434 Enrollment ID: O20230414001319 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laurence Martin Bradley Jr, MD 2230 Huntington Dr N, Algonquin, IL 60102-4419 Ph: (847) 603-4146 | Dr Laurence Martin Bradley Jr, MD 2230 Huntington Dr N, Algonquin, IL 60102-4419 Ph: (847) 603-4146 |
Lauren Marie Boshnick, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2430 Esplanade Dr Ste B, Algonquin, IL 60102 Phone: 847-458-7546 Fax: 224-509-9788 | |
Dr. Vikram J Khanna, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2430 Esplanade Drive, Suite B, Algonquin, IL 60102 Phone: 847-458-7546 |