Individual
BRAD C ALBERTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
520 N 4TH ST, SPRINGFIELD, IL 62702-5238
(217) 757-8100
(217) 747-1351
Mailing address
PO BOX 19670, SPRINGFIELD, IL 62794-9670
(217) 757-8100
(217) 747-1351
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001668
IL
363AS0400X
Surgical Physician Assistant
85001668
IL
Other
Enumeration date
01/13/2006
Last updated
07/19/2010
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