MEDICARE: MR. LEO V BRATLAND R PH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1459999	OTHER	IL	NABP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801836192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LEO V BRATLAND R PH

Provider Business Mailing Address
First Line	:	41 COUNTRY CLUB DR
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61832-1216
Country	:	US
Telephone Number	:	217-442-2472
Fax Number	:	217-442-2477

Provider Business Practice Location Address
First Line	:	8 E NORTH ST
Second Line	:
City	:	DANVILLE
State	:	IL
Zip	:	61832-5804
Country	:	US
Telephone Number	:	217-442-2472
Fax Number	:	217-442-2477

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1831160357 — BRATLAND'S PRESCRIPTION SHOP INC
Practice Location Address:

8 E NORTH ST
DANVILLE, IL
61832-5804

Practice Phone: 217-442-2472
Practice Fax: 217-442-2477

1407786932 — LEXI HICKEY
Practice Location Address:

1900 E MAIN ST
DANVILLE, IL
61832-5100

Practice Phone: 217-554-3000
Practice Fax:

1023699113 — SHELBY FINKELMAN PSYD
Practice Location Address:

1900 E MAIN ST # B103
DANVILLE, IL
61832-5100

Practice Phone: 217-554-4530
Practice Fax:

1699040451 — THE CENTER FOR YOUTH AND FAMILY SOLUTIONS
Practice Location Address:

102 ROBINSON ST
DANVILLE, IL
61832-8515

Practice Phone: 217-443-1772
Practice Fax: 217-443-1701

1417329426 — TWO ROADS WELLNESS CLINIC, LLC
Practice Location Address:

3545 N VERMILION ST
DANVILLE, IL
61832-1100

Practice Phone: 217-651-6801
Practice Fax: 217-651-6802

1881425056 — DANVILLE NURSING AND REHAB CENTER LLC
Practice Location Address:

1701 N BOWMAN AVENUE RD
DANVILLE, IL
61832-2200

Practice Phone: 217-443-2955
Practice Fax:

Directions to “ MR. LEO V BRATLAND R PH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.