Individual
BRADLY HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
965 W SPENCER CT, PALATINE, IL 60067-2206
(847) 452-5710
Mailing address
965 W SPENCER CT, PALATINE, IL 60067-2206
(847) 452-5710
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
81-1715543
IL
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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