BRADLEY A IVAN

CHICAGO, IL
NPI1598232910
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-006803)
Enumeration Date2018-10-24
Last Update Date2019-04-23
Business Address
BRADLEY A IVAN PA-C
251 E HURON ST
CHICAGO, IL 60611-2908
Phone number: 312-926-2000
Mailing Address
BRADLEY A IVAN PA-C
710 W GRAND AVE UNIT 401
CHICAGO, IL 60654-5566
Phone number:
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