Healthcare Provider Details

I. General information

NPI: 1487251393
Provider Name (Legal Business Name): BRADLEY AUSTIN HELDMANN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2020
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E ERIE ST STE 520
CHICAGO IL
60611-2792
US

IV. Provider business mailing address

1 E ERIE ST STE 520
CHICAGO IL
60611-2792
US

V. Phone/Fax

Practice location:
  • Phone: 312-761-4726
  • Fax:
Mailing address:
  • Phone: 312-761-4726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036.174951
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: