Dr. Bradford Lawrence Smith
Pediatrician
3001 6th St Department Of Pediatrics
Great Lakes
, Illinois 60088-2833
Dr. Bradford Lawrence Smith
Pediatrician
3001 6th St Department Of Pediatrics
Great Lakes
, Illinois 60088-2833
(847) 688-2255
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Bradford Lawrence Smith
- 3001 6th St Department Of Pediatrics
- Great Lakes, IL
- Zip : 60088-2833
- Phone : (847) 688-2255
Second Address
- Dr. Bradford Lawrence Smith
- 3001 6th St Department Of Pediatrics
- Great Lakes, IL
- Zip : 60088-2833
- Phone : (847) 688-2255
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 0101102811 | VA |
National Provider Identifier
| NPI | 1003895731 |
|---|---|
| Provider Name | Dr. Bradford Lawrence Smith |
| First Address | Great Lakes, IL 60088-2833 |
| Second Address | Great Lakes, IL 60088-2833 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.