Bradford S. Wainer D.O.

NPI 1023011467 - Family Medicine - 207Q00000X

NPI Details
NPI 1023011467
Gender Male
Enumeration Date 05/31/2005
Last Updated 02/14/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
6840 WINDSOR AVE
BERWYN IL, 60402-3441, US
Phone (708) 484-0042
Fax (708) 749-5489
Business Location
6840 WINDSOR AVE
BERWYN IL, 60402-3441, US
Phone (708) 484-0042
Fax (708) 749-5489
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036069438
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According to our database, Bradford S. Wainer D.O. NPI is 1023011467, taxonomy code is 207Q00000X and license number is 036069438, license state is located at Illinois. Bradford S. Wainer D.O. physically located at 6840 Windsor Ave, Berwyn IL, 60402-3441. NPI Number Bradford S. Wainer D.O. has the Individual type.

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1023011467 NPI number is provided on an as is basis without warranty of any kind. 1023011467 is maintained by the National Plan & Provider Enumeration System. The contents of Bradford S. Wainer D.O. are for informational purposes only.