ROSSLEY BRADLEY (NPI# 1003446477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003446477 |
| Entity Type | Individual |
| Full Name | ROSSLEY BRADLEY |
| Practice Address |
4557 Lincoln Hwy Matteson IL 60443-2354 |
| Mailing Address |
1001 Eagle Point Dr Matteson IL 60443-1873 |
| Practice Telephone | 8554942600 |
| Practice Fax Number | 8559181906 |
| Mailing Telephone | 7086916123 |
| Mailing Fax Number | 8559181906 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4557 LINCOLN HWY |
| City | MATTESON |
| State | IL |
| Zip Code | 60443-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
| 1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
| 1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
| 1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
| 1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
| Find all providers in zip 60443 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114290889 | Khojasteh Kathy Taheri | Spec/Tech, Cardiovascular | 2534 Wild Dunes Ct, Aurora, IL 60503-5648 | 2012-02-10 |
| 1326319260 | Julie Dalgaard | Spec/Tech, Cardiovascular | 604 E Thornwood Dr, South Elgin, IL 60177-3239 | 2012-01-24 |
| 1174894539 | Premier Diagnostic Imaging Services Inc | Spec/Tech, Cardiovascular | 1784 E Oakton St, #113, Des Plaines, IL 60018-2168 | 2012-01-17 |
| 1730486358 | Sheila Holdren | Spec/Tech, Cardiovascular | 505 16th St, Silvis, IL 61282-2624 | 2011-02-16 |
| 1619282183 | Echofast | Spec/Tech, Cardiovascular | 4056 Thatcher Dr, Aurora, IL 60504-5374 | 2010-08-09 |
| 1669784765 | Sushma Wadhwa | Spec/Tech, Cardiovascular | 1600 Woodside Dr, Freeport, IL 61032-6730 | 2010-07-07 |
| 1720214109 | Attic Diagnostic Solutions LLC | Spec/Tech, Cardiovascular | 6720 N Sheridan Rd, Suite.201, Chicago, IL 60626-4572 | 2009-05-30 |
| 1124271143 | It Consulting & Diagnostics Inc | Spec/Tech, Cardiovascular | 1572 Brandywyn Ln, Buffalo Grove, IL 60089-1003 | 2008-11-04 |
| 1912162496 | Progressive Diagnostics,inc. | Spec/Tech, Cardiovascular | 2404 High Meadow Rd, Naperville, IL 60564-5375 | 2008-07-23 |
| 1285811273 | Cheryl Lynn Jackson | Spec/Tech, Cardiovascular | 20039 Oakwood Dr, Mokena, IL 60448-1397 | 2008-01-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROSSLEY BRADLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.