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Individual

MR. GREGORY JOHN BRADSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1875 DEMPSTER ST, SUITE G10, PARK RIDGE, IL 60068-1186
(847) 723-7500
Mailing address
419 E WARWICK RD, PALATINE, IL 60074-3873
(847) 496-7331

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
070009447
IL

Other

Enumeration date
07/12/2010
Last updated
07/12/2010
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