| 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 |