Individual
MS. DEBRA BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
14315 SOUTH 108TH AVE., SUITE 215, ORLAND PARK, IL 60467
(708) 966-0993
(708) 966-0997
Mailing address
3044 RIVER ROAD, KANKAKEE, IL 60901
(815) 450-1178
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013472
IL
Other
Enumeration date
09/14/2016
Last updated
11/22/2024
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