Individual
DR. BRADLEY KEITH VIRGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.,CCSP
Contact information
Practice address
311 E UNION AVE, LITCHFIELD, IL 62056-1519
(217) 324-2377
(217) 324-2377
Mailing address
311 E UNION AVE, LITCHFIELD, IL 62056-1519
(217) 324-2377
(217) 324-2377
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
IL
Other
Enumeration date
11/09/2006
Last updated
11/09/2007
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