Individual
BRADLEY WILFONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1370 ARGYLE LN S, BOURBONNAIS, IL 60914-5108
(815) 274-0723
Mailing address
1370 ARGYLE LN S, BOURBONNAIS, IL 60914-5108
(815) 274-0723
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.116577
IL
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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