Individual
MR. BRAD R BULDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 E WASHINGTON ST, CHAMPAIGN, IL 61820-3652
(217) 398-7785
(217) 398-7787
Mailing address
1401 WINDING LN, CHAMPAIGN, IL 61820-2631
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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