Amanda Bradke, | |
1700 W Van Buren St Ste 500, Chicago, IL 60612 | |
(312) 942-4200 | |
Not Available |
Full Name | Amanda Bradke |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 11 Years |
Location | 1700 W Van Buren St Ste 500, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518200468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 036-146767 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rush University Medical Center | Chicago, IL | Hospital |
Fort Defiance Indian Hospital | Fort defiance, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Fort Defiance Indian Hospital Board, Incorporation | 0941336697 | 143 |
Rush University Medical Center | 5496658874 | 997 |
Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
Mailing Address | Practice Location Address |
---|---|
Amanda Bradke, 1700 W Van Buren St Ste 500, Chicago, IL 60612-5500 Ph: (312) 942-4200 | Amanda Bradke, 1700 W Van Buren St Ste 500, Chicago, IL 60612 Ph: (312) 942-4200 |
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