BRADFORD R EGLY


Address: 108 W Main St, Dwight, IL 60420
Phone: 8155849000

BRADFORD R EGLY (NPI# 1528174489) 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) 1528174489
Entity Type Individual
Full Name BRADFORD R EGLY
Credential DPM
Practice Address 108 W Main St
Dwight
IL 60420
Practice Telephone 8155849000
Practice Fax Number 8155842261
Mailing Telephone 8155849000
Mailing Fax Number 8155842261
Enumeration Date 2006-08-22
Last Update Date 2010-04-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 016004698 IL Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL BCBS AL 051005617 01
AL BCBS AL 051005618 01
AL RAILROAD MEDICARE P00463492 01
AL BCBS AL 051005619 01
AL BCBS AL 051538406 01
IL 016004698 05
AL BCBS AL 051548831 01
FL BCBS FLORIDA 65410 01
AL BCBS AL 059202011 01

Office Location

Street Address 108 W MAIN ST
City DWIGHT
State IL
Zip Code 60420

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902149982 Maulin G Shah Family Medicine 107 Watters Dr, Dwight, IL 60420 2013-03-28
1558446633 Highland Park Cvs, L.l.c Durable Medical Equipment & Medical Supplies 106 Watters Dr, Dwight, IL 60420 2006-10-26
1861598997 Cynthia Ann Humbert Dentist 413 E Mazon Ave, Dwight, IL 60420 2006-09-16
1851404313 Mark A Passerman Family Medicine 101 S Prairie Ave, Dwight, IL 60420 2006-08-17
1558820829 Laura E Lamere Occupational Therapy Assistant 215 E North St, Dwight, IL 60420-1051 2019-03-17
1982695029 Heritage Manor Dwight, LLC Durable Medical Equipment & Medical Supplies 300 E Mazon Ave, Dwight, IL 60420-1104 2005-10-28
1194280024 Matthew J Govednik Physical Therapy Assistant 300 E Mazon Ave, Dwight, IL 60420-1104 2019-02-05
1215346036 Kelly Martin Occupational Therapist 300 E Mazon Ave, Dwight, IL 60420-1104 2014-08-06
1487061974 Debra Wilder Physical Therapy Assistant 300 E Mazon Ave, Dwight, IL 60420-1104 2014-07-16
1083021612 Ericka L Stemple Occupational Therapy Assistant 300 E Mazon Ave, Dwight, IL 60420-1104 2014-07-15
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881200343 Podiatric Management Systems LLC Podiatrist 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 2020-09-21
1114533700 Podiatric Management Systems LLC Podiatrist 537 W 31st St, Chicago, IL 60616-3294 2020-09-18
1306452099 Podiatric Management Systems LLC Podiatrist 2 W Talcott Rd Ste 23, Park Ridge, IL 60068-5558 2020-09-18
1073129763 Podiatric Management Systems LLC Podiatrist 4310f W Crystal Lake Rd # F, Mchenry, IL 60050-4208 2020-09-18
1679187090 Podiatric Management Systems LLC Podiatrist 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 2020-09-02
1932742848 Foot and Ankle Care & Associates, Ltd Podiatrist 3320 W 63rd St, Chicago, IL 60629-3317 2019-10-23
1437622966 Tomasz Szmyd Dpm, PC Podiatrist 1500 E 67th St, Chicago, IL 60637-4427 2019-01-08
1689145898 S Thomas Sehy D P M L L C Podiatrist 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 2018-12-16
1548746761 Jeremy Marchand Podiatrist 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 2018-07-11
1932693744 Giovanni Incandela Podiatrist 700 E Algonquin Rd Unit 2313, Schaumburg, IL 60173-3835 2018-06-15
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Competitor

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City DWIGHT
Zip Code 60420

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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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