Individual
IONUT L BRADESCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 N SUMMIT AVE, PARK RIDGE, IL 60068-3310
(847) 696-7356
Mailing address
5148 W CARMEN AVE, CHICAGO, IL 60630-2324
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004813
IL
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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