Individual
MR. BRADLEY WAYNE JOURDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
205 N SYCAMORE ST, HINCKLEY, IL 60520-9437
(815) 286-7859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.006273
IL
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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