NPI

R&r 1 Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2014-06-03
Last updated
2014-06-03

Specialties

Licenses

License IL
036127269

Location

Practice location
2071 Goose Lake Rd
City
Sauget IL
Postal code
62206-2822
Phone
(618) 857-2634

Organization contact

Name
MATTHEW BRADLEY
Title
owner
Phone
3147187276

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Sauget, IL. 11 records in the public file.

Removal request

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