BRADLEY LAZAR (NPI# 1558762997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558762997 |
| Entity Type | Individual |
| Full Name | BRADLEY LAZAR |
| Practice Address |
800 Austin St Ste 466 Evanston IL 60202-3455 |
| Practice Telephone | 8473430205 |
| Mailing Telephone | 8473430205 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
IL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
800 AUSTIN ST STE 466 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649569534 | Sheetal K Decaria | Anesthesiology | 800 Austin St Ste 466, Evanston, IL 60202-3455 | 2011-03-31 |
| 1467934414 | Revitalize Medical Center LLC | Pain Medicine | 800 Austin St Ste 466, Evanston, IL 60202-3455 | 2018-09-05 |
| 1801297288 | North Suburban Ultrasound, LLC | Clinic/Center | 800 Austin St Ste 466, Evanston, IL 60202-3455 | 2014-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725886 | Anam Butt | Radiologic Technologist | 11330 S Harlem Ave Ste 4, Worth, IL 60482-2060 | 2020-03-20 |
| 1205256849 | Michael Schokin | Radiologic Technologist | 755 Grove Dr, 208, Buffalo Grove, IL 60089-4047 | 2014-04-22 |
| 1225473168 | Dilip B Patel | Radiologic Technologist | 2166 W Silverleaf Ln, Addison, IL 60101-6402 | 2013-05-06 |
| 1639414857 | Dimon X Inc | Radiologic Technologist | 1409 Chippewa Trl, Wheeling, IL 60090-5159 | 2012-11-28 |
| 1922373497 | Primecare Diagnostics Inc | Radiologic Technologist | 2801 W Estes Ave, Chicago, IL 60645-2903 | 2012-03-16 |
| 1669742623 | Liberty Diagnostic Services | Radiologic Technologist | 518 S Highway 31, Mchenry, IL 60050-7464 | 2012-01-09 |
| 1669764551 | Halina Kurylovich | Radiologic Technologist | 836 S. Nortthwest Hwy, A - Back, Barrington, IL 60010-4622 | 2011-05-10 |
| 1598088031 | Glenview Diagnostics | Radiologic Technologist | 6333 N California Ave Ste 101, Chicago, IL 60659-1701 | 2010-03-11 |
| 1184956963 | Bux Diagnostics Inc | Radiologic Technologist | 7519 Keystone Ave, Skokie, IL 60076-3928 | 2010-02-04 |
| 1508099540 | Maria Arenas | Radiologic Technologist | 150 Well Street, Park Forest, IL 60466-0000 | 2009-08-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRADLEY LAZAR.
| 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.