Individual
DR. BRADLEY JOSEPH THOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 258-7590
(217) 258-3686
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036150856
IL
390200000X
Student in an Organized Health Care Education/Training Program
125070619
IL
Other
Enumeration date
05/24/2017
Last updated
01/29/2021
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