Individual
BRADY JOHN MCWILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
902 E OAK ST STE 3, FAIRBURY, IL 61739-1301
(815) 692-6200
(815) 692-6202
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12910
TN
225100000X
Physical Therapist
—
IL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
Enumeration date
06/04/2020
Last updated
04/01/2024
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