Individual
HEIDI L BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-7102
(773) 296-5025
Mailing address
836 WEST WELLINGTON, CHICAGO, IL 60657
(773) 296-7102
(773) 296-5025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041337822
IL
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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