Individual
TERRY M BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 662-3311
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036069904
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036-069904
IL
Other
Enumeration date
08/12/2006
Last updated
12/04/2023
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