NPI 1710487095

Bradley Ashpole MD LLC

Organisation Plastic Surgery Physician Itasca, IL

Practice location

Address: 1107 N Prospect Ave, Itasca, IL 60143-1408
Phone: (847) 884-8346
Mailing address: 1333 W Estate Ln E, Lake Forest, IL 60045-3623

Authorised official

Name: Bradley Ashpole
Title: President/Ceo
Phone: (847) 884-8346

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 036113854 (IL)

Other Plastic Surgery providers in Illinois →

Registry record

NPI: 1710487095
Entity type: Organization
NPI issued: 13 Feb 2018
Record last updated: 10 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.