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Contact Information

CARRIE M BRADFORD, MD
12251 S 80TH AVE
PALOS HEIGHTS, IL60463-1256
 Phone: 708-923-5148
 Fax: 708-923-5067
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cytopathology

207ZC0500X 22 Physician/Pathology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CARRIE M BRADFORD · (Female)

NPI Number 1346403664
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2008
Last updated 09/12/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036.120823
  • IL License # 336.081983
Hospital affiliation(s)
  • PALOS COMMUNITY HOSPITAL - (Acute Care)
    12251 SOUTH 80TH AVENUE
    PALOS HEIGHTS, IL 60463
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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