Provider Demographics
NPI:1376522177
Name:STRIMLING, BRADLEY SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:BRADLEY
Middle Name:SCOTT
Last Name:STRIMLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 RENAISSANCE DR STE 307
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1343
Mailing Address - Country:US
Mailing Address - Phone:847-803-1000
Mailing Address - Fax:847-803-1098
Practice Address - Street 1:1775 DEMPSTER STREET
Practice Address - Street 2:RADIOLOGY DEPARTMENT
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068
Practice Address - Country:US
Practice Address - Phone:847-803-1000
Practice Address - Fax:847-803-1098
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036098285174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036098285Medicaid
ILK22467Medicare ID - Type UnspecifiedGMI COOK COUNTY
ILK15737Medicare ID - Type UnspecifiedMIDWESTERN REGIONAL
ILK07915Medicare ID - Type UnspecifiedGMI LAKE COUNTY
ILK07913Medicare ID - Type UnspecifiedGRC LAKE COUNTY
ILK07914Medicare ID - Type UnspecifiedGRC COOK COUNTY
ILK21114Medicare ID - Type UnspecifiedAHRC
ILK45891Medicare PIN