BRAD ANGLE


Address: 1875 Dempster St Ste 285, Park Ridge, IL 60068-1157
Phone: (847) 723-7705

BRAD ANGLE (NPI# 1427026897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427026897
Entity Type Individual
Full Name BRAD ANGLE
Credential MD
Practice Address 1875 Dempster St Ste 285
Park Ridge
IL 60068-1157
Practice Telephone (847) 723-7705
Practice Fax Number 8477238675
Mailing Telephone (847) 723-7705
Mailing Fax Number 8477238675
Enumeration Date 2006-03-10
Last Update Date 2017-08-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207SG0201X Medical Genetics
Specialization: Clinical Genetics (M.D.)
036069741 IL Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 036069741 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036069741 05

Office Location

Street Address 1875 DEMPSTER ST STE 285
City PARK RIDGE
State IL
Zip Code 60068-1157

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265032288 Kyle Heraty Genetic Counselor, MS 1875 Dempster St Ste 285, Park Ridge, IL 60068-1157 2020-10-28
1497396139 Kristen Young Genetic Counselor, MS 1875 Dempster St Ste 285, Park Ridge, IL 60068-1157 2019-10-03
1922659671 Mary Hickman Genetic Counselor, MS 1875 Dempster St Ste 285, Park Ridge, IL 60068-1157 2019-09-24
1275014250 Eden Faye Genetic Counselor, MS 1875 Dempster St Ste 285, Park Ridge, IL 60068-1157 2018-08-27
1710492780 Rachel Baker Genetic Counselor, MS 1875 Dempster St Ste 285, Park Ridge, IL 60068-1157 2017-12-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1053808857 Landon Ginsberg Student in an Organized Health Care Education/Training Program 1775 Ballard, Park Ridge, IL 60068 2018-04-17
1255828448 Vera W Brink Obstetrics & Gynecology Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 2018-04-13
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1720521362 Alexander Mylonas Psychologist 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 2016-11-30
1376090878 Rebecca Rajasekhar Audiologist 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 2016-09-01
1164818449 Mohammad Taha Mustaf Taha Mustafa Sheikh Student in an Organized Health Care Education/Training Program 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 2015-04-13
1518397918 Megan Roberts Speech-Language Pathologist 2240 Campus Dr., Evanston, IL 60068 2013-11-21
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Taxonomy Information

Taxonomy Code 207SG0201X
Grouping Allopathic & Osteopathic Physicians
Classification Medical Genetics
Specialization Clinical Genetics (M.D.)

Taxonomy Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225072598 Carol Witcraft Booth Medical Genetics 1875 Dempster St, Suite 310, Park Ridge, IL 60068-1186 2006-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043474893 Serendestiny Enterprise LLC Medical Genetics 3555 Vanilla Grass Dr, Naperville, IL 60564-8331 2008-07-10
1164447413 Lee Shulman Medical Genetics 675 N St Clair Street, Galter Suite 14-200, Chicago, IL 60611-5966 2006-07-13
1962466375 Joel Martin Charrow Medical Genetics Ann& Robert H. Lurie Children's Hospital of Chicago #59, 225 E Chicago Ave, Chicago, IL 60611-2991 2006-04-13
1629051289 Rhonda Spiro Medical Genetics 1801 W Taylor St Ste 2e, Chicago, IL 60612-4795 2005-11-28
1134534597 Joshua Baker Medical Genetics 225 E Chicago Ave, Chicago, IL 60611-2991 2014-06-24
1306108105 Josue Flores Daboub Medical Genetics 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2012-06-08
1972883254 Gifty Bhat Medical Genetics 1801 W Taylor St Ste 2e, Ui Health Occ, Chicago, IL 60612-4795 2011-08-18
1043410772 Neuromed Clinic LLC Medical Genetics 25 N Winfield Rd, Ste 500, Winfield, IL 60190-1222 2007-07-20
1669595872 Darrel Waggoner Medical Genetics 5841 S Maryland Ave, Mc 0077 Room O-500, Chicago, IL 60637-1447 2007-04-10
1538282736 William Brian Dobyns Medical Genetics 5841 S Maryland Ave, Mc 0077, Chicago, IL 60637-1447 2007-04-10
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Competitor

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City PARK RIDGE
Zip Code 60068

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Dataset Information

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.

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