Individual
BRADLEY TEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 E ROUTE 38, ROCHELLE, IL 61068
(815) 562-3414
(815) 562-9510
Mailing address
311 E ROUTE 38, ROCHELLE, IL 61068
(815) 562-3414
(815) 562-9510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051286162
IL
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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