Individual
ELIJAH MCCARRELL-BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 AMERICAN WAY, ELGIN, IL 60120-4341
(847) 742-3545
Mailing address
5947 N WINTHROP AVE APT 3B, CHICAGO, IL 60660-5239
(773) 571-6892
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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