Individual
BRENT TERADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
899 N MILL ST, NAPERVILLE, IL 60563-2909
(630) 420-6502
Mailing address
899 N MILL ST, NAPERVILLE, IL 60563-2909
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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