Bradford R Egly, DPM | |
108 W Main St, Dwight, IL 60420 | |
(815) 584-9000 | |
(815) 584-2261 |
Full Name | Bradford R Egly |
---|---|
Gender | Male |
Speciality | Podiatrist |
Location | 108 W Main St, Dwight, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528174489 | NPI | - | NPPES |
051548831 | Other | AL | BCBS AL |
65410 | Other | FL | BCBS FLORIDA |
P00463492 | Other | AL | RAILROAD MEDICARE |
016004698 | Medicaid | IL | |
051005617 | Other | AL | BCBS AL |
051005618 | Other | AL | BCBS AL |
051538406 | Other | AL | BCBS AL |
051005619 | Other | AL | BCBS AL |
059202011 | Other | AL | BCBS AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016004698 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Bradford R Egly, DPM 108 W Main St, Dwight, IL 60420 Ph: (815) 584-9000 | Bradford R Egly, DPM 108 W Main St, Dwight, IL 60420 Ph: (815) 584-9000 |
Cfac Incorporated Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 103 S John St, Dwight, IL 60420 Phone: 815-584-9000 |