Individual
MR. BRADLEY ALAN WICKNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
7710 S CICERO AVE, BURBANK, IL 60459-1583
(708) 425-0096
Mailing address
7710 S CICERO AVE, BURBANK, IL 60459-1583
(708) 425-0096
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3154
IL
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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