Individual
BRAD W VANDEVELDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
972 BROOK FOREST AVE, SHOREWOOD, IL 60404-8807
(815) 439-4938
(815) 439-7816
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-016543
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01019766
MEDICARE RAILROAD
IL
Enumeration date
08/04/2008
Last updated
10/23/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us