Individual
BETTY COLEMAN-BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 596-5518
Mailing address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 596-5518
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.023246
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209023246
—
IL
Enumeration date
06/01/2021
Last updated
06/10/2022
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