ERIN BRADLEY (NPI# 1093076747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093076747 |
| Entity Type | Individual |
| Full Name | ERIN BRADLEY |
| Credential | M.D. |
| Practice Address |
225 E Chicago Ave # 73 Chicago IL 60611-2991 |
| Practice Telephone | 3122271614 |
| Practice Fax Number | 3122271675 |
| Mailing Telephone | 3122271614 |
| Mailing Fax Number | 3122271675 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2018-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 036.138040 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301100476 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
036.138040 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669033999 | Erin Bradley | Specialist/Technologist | 1800 Holleman Dr Apt 118, College Station, TX 77840-7207 | 2019-06-26 |
| 1659814309 | Erin Nicole Bradley | Registered Nurse | 12430 Springwater Ave Nw, Uniontown, OH 44685-8293 | 2016-11-29 |
| 1396114005 | Erin Bradley | Nurse Practitioner | 39 Park Vale Ave, Apt 3, Allston, MA 02134-2626 | 2015-09-23 |
| 1245638758 | Erin Bradley | Behavioral Analyst | 1 S Church Ave Ste 1200, Tucson, AZ 85701-1601 | 2014-12-15 |
| 1083888986 | Erin H. Bradley | Speech-Language Pathologist | 11383 Lucky Dan Dr, Noblesville, IN 46060-4774 | 2008-04-22 |
| 1366595381 | Erin Bradley | Speech-Language Pathologist | 1405 Solana Dr, Belmont, CA 94002-3653 | 2007-01-21 |
| 1407846272 | Erin H. Bradley | Specialist | 4909 S. Alma School Road, Suite 4, Chandler, AZ 85248 | 2005-10-24 |
| 1942815535 | Erin Bradley | Speech-Language Pathologist | 250 Nw 76th Dr, Gainesville, FL 32607-6668 | 2020-09-10 |
| 1134601313 | Erin E Bradley | Speech-Language Pathologist | 300 Newark Rd, Mount Vernon, OH 43050-4510 | 2018-09-04 |
| 1588983381 | Erin E Bradley | Developmental Therapist | 410 Camp Rd, Pocahontas, AR 72455-1487 | 2010-05-19 |
| Street Address |
225 E CHICAGO AVE # 73 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356608996 | Amanda Kate Puro | Pediatrics | 225 E Chicago Ave # 73, Chicago, IL 60611-2991 | 2012-04-20 |
| 1902287212 | Elitsa V. Nicolaou | Pediatrics | 225 E Chicago Ave # 73, Chicago, IL 60611 | 2015-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982150702 | Kayla Duvall | Pediatrics | 5841 S Maryland Ave # 1145, Chicago, IL 60637-1443 | 2016-08-31 |
| 1215304258 | Huda Adam | Pediatrics | 5706 S Blackstone Ave, Unit 1, Chicago, IL 60637-1824 | 2015-08-25 |
| 1699916932 | Deanna Marie Behrens | Pediatrics | 840 S. Wood, Department of Pediatrics, Uic, Chicago, IL 60612 | 2009-03-17 |
| 1326207663 | Lauren Elizabeth Marsillio | Pediatrics | 225 E Chicago Ave # 15-119d, Chicago, IL 60611-2991 | 2008-06-02 |
| 1376606491 | Pallavi P. Patwari | Pediatrics | 1620 W Harrison St, Suite 7 Kellogg, Chicago, IL 60612-3801 | 2006-12-19 |
| 1972665974 | Denise M. Goodman | Pediatrics | 2300 N Childrens Plz # 73, Chicago, IL 60614-3363 | 2006-12-15 |
| 1407897887 | Rachel K Wolfson | Pediatrics | 5839 S Maryland Ave, Mc 4064, Chicago, IL 60637-1463 | 2006-06-09 |
| 1437513918 | Allison Patten | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2016-04-11 |
| 1316301351 | Joan Nicole Buen | Pediatrics | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2016-04-06 |
| 1871956714 | Stephanie Lam | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2016-03-29 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on ERIN 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.