Individual
VICKI BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11104 S TROY ST, CHICAGO, IL 60655-2318
(773) 941-5125
(773) 351-4149
Mailing address
11104 S TROY ST, CHICAGO, IL 60655-2318
(773) 941-5125
(773) 352-4149
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209018299
IL
Other
Enumeration date
02/16/2023
Last updated
11/07/2025
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