Individual
BRADLEY P RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4511 ROUTE 71, OSWEGO, IL 60543-7416
(630) 554-7815
(630) 554-4849
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.025309
IL
225100000X
Physical Therapist
Primary
5234
NH
225100000X
Physical Therapist
PTL26498
MA
Other
Enumeration date
02/19/2021
Last updated
03/24/2025
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