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Bradford R Egly, DPM
Podiatrist in Dwight, Illinois
NPI 1528174489

Bradford R Egly is a Podiatrist based in Dwight, IL. Bradford R Egly practices in Dwight, IL and has the professional credentials of DPM. The NPI Number for Bradford R Egly is 1528174489 and holds a License No. 016004698 (Illinois).

The current practice location address for Bradford R Egly is 108 W Main St, Dwight, IL and can be reached out via phone at 815-584-9000 and via fax at 815-584-2261.

Location: 108 W Main St, Dwight, IL, 60420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528174489
Provider Name
Bradford R Egly
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
108 W Main St, Dwight, IL, 60420
Phone Number
815-584-9000
Fax Number
815-584-2261
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051548831 01 AL BCBS AL
65410 01 FL BCBS FLORIDA
P00463492 01 AL RAILROAD MEDICARE
016004698 05 IL
051005617 01 AL BCBS AL
051005618 01 AL BCBS AL
051538406 01 AL BCBS AL
051005619 01 AL BCBS AL
059202011 01 AL BCBS AL
institution
Provider Business Practice Location Address Details
Address
108 W Main St
City
Dwight
State
Illinois
Zip
60420
Phone Number
815-584-9000
Fax Number
815-584-2261
person
Provider Business Mailing Address Details
Address
108 W Main St
City
Dwight
State
Illinois
Zip
60420
Phone Number
815-584-9000
Fax Number
815-584-2261
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
016004698 (Illinois)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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