Individual
BRADLEY G PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Mailing address
730 S CLARK ST APT 506, CHICAGO, IL 60605-1744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.024892
IL
2251X0800X
Orthopedic Physical Therapist
10290
MN
Other
Enumeration date
06/16/2016
Last updated
01/20/2020
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