Individual
BRADLEY A TROMPETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10 S CLINTON ST, CHICAGO, IL 60661-3400
(312) 234-9958
(312) 234-9962
Mailing address
10 S CLINTON ST, CHICAGO, IL 60661-3400
(312) 234-9958
(312) 234-9962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070017929
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00867643
MEDICARE RAILROAD
IL
01
—
P00931626
MEDICARE RAILROAD
IL
Enumeration date
07/06/2010
Last updated
01/19/2022
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