Michelle Rae Braddy is a Family Medicine Physician based in Effingham, IL. Michelle Rae Braddy practices in Dieterich, IL and has the professional credentials of MD. The NPI Number for Michelle Rae Braddy is 1619068061 and holds a License No. 036120332 (Illinois).
The current practice location address for Michelle Rae Braddy is 203 S Main St, Dieterich, IL and can be reached out via phone at 217-925-5730 and via fax at 217-925-5736.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14D0921285 | 01 | IL | CLIA ID NUMBER |
| 036120332 | 01 | IL | ILLINOIS PHYSICIAN LICENSE |
| 371391171005 | 05 | IL | |
| 930280 | 01 | IL | HEALTHLINK |
| 2523247 | 01 | IL | BLUE CROSS BLUE SHIELD |
| P00790343 | 01 | IL | RAILROAD MEDICARE |
| 036120332 | 05 | IL | |
| 336082411 | 01 | IL | ILLINOIS CONTROLLED SUBSTANCE LICENSE |
| 371391171005 | 01 | IL | MEDICAID RURAL HEALTH |
| 561920 | 01 | IL | MEDICARE GROUP PTAN |
| 151351 | 01 | IL | HEALTH ALLIANCE |
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