Individual
IANCU BRADEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
555 WILSON LN, DES PLAINES, IL 60016-4729
(224) 458-6041
Mailing address
8631 CENTRAL PARK AVE, SKOKIE, IL 60076-2933
(733) 708-7787
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209028051
IL
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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