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Dr. Samantha Elizabeth Bradley, DC
Chiropractor in Belvidere, Illinois
NPI 1639587942

Samantha Elizabeth Bradley is a Chiropractor based in Belvidere, IL. Samantha Elizabeth Bradley practices in Belvidere, IL and has the professional credentials of DC. The NPI Number for Samantha Elizabeth Bradley is 1639587942 and holds a License No. 038012666 (Illinois).

The current practice location address for Samantha Elizabeth Bradley is 8115 Fruit Farm Rd, Belvidere, IL and can be reached out via phone at 815-547-6333 and via fax at 815-642-5695.

Location: 8115 Fruit Farm Rd, Belvidere, IL, 61008-9075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639587942
Provider Name
Samantha Elizabeth Bradley
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
8115 Fruit Farm Rd, Belvidere, IL, 61008-9075
Phone Number
815-547-6333
Fax Number
815-642-5695
Provider Enumeration Date
07/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5090934 01 IL AETNA PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
8115 Fruit Farm Rd
City
Belvidere
State
Illinois
Zip
61008-9075
Phone Number
815-547-6333
Fax Number
815-642-5695
person
Provider Business Mailing Address Details
Address
8115 Fruit Farm Rd
City
Belvidere
State
Illinois
Zip
61008-9075
Phone Number
815-547-6333
Fax Number
815-642-5695
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038012666 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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