Individual
BRADLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 N HIGHLAND AVE, AURORA, IL 60506-1401
(630) 966-4339
(630) 859-3841
Mailing address
1230 N HIGHLAND AVE, AURORA, IL 60506-1401
(630) 966-4339
(630) 859-3841
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
041.398940
IL
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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