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Dr. Timothy Michael Bradley, MD
Plastic and Reconstructive Surgery Physician in St Charles, Illinois
NPI 1568682508

Timothy Michael Bradley is a Plastic and Reconstructive Surgery Physician based in St Charles, IL and is specialized in Plastic and Reconstructive Surgery. Timothy Michael Bradley practices in St Charles, IL and has the professional credentials of MD. The NPI Number for Timothy Michael Bradley is 1568682508 and holds a License No. 036-082971 (Illinois).

The current practice location address for Timothy Michael Bradley is 3310 W Main St, St Charles, IL and can be reached out via phone at 630-897-6044 and via fax at 630-659-3502.

Location: 3310 W Main St, St Charles, IL, 60175-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568682508
Provider Name
Timothy Michael Bradley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3310 W Main St, St Charles, IL, 60175-1000
Phone Number
630-897-6044
Fax Number
630-659-3502
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036-082971 05 IL
institution
Provider Business Practice Location Address Details
Address
3310 W Main St
City
St Charles
State
Illinois
Zip
60175-1000
Phone Number
630-897-6044
Fax Number
630-659-3502
person
Provider Business Mailing Address Details
Address
3310 W Main St
City
St Charles
State
Illinois
Zip
60175-1000
Phone Number
630-897-6044
Fax Number
630-659-3502
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgery of the Hand
Taxonomy
2086S0105X
License No.
036-082971 (Illinois)
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
036-082971 (Illinois)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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