Individual
BRADLEY PELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
3082 CATON FARM RD, JOLIET, IL 60435-1455
(815) 577-9936
(815) 577-9938
Mailing address
548 ASPEN DR, LOMBARD, IL 60148-4248
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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