Individual
MRS. MARY T BRADISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2970 CHARTRES ST, LASALLE, IL 61301
(815) 223-0196
(815) 223-0358
Mailing address
830 MONKS AVE, PERU, IL 61354
(815) 224-2131
(815) 223-0358
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
IL
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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