BRADLEY GRISSOM

DANVILLE, IL
NPI1891830402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209005691)
Enumeration Date2007-02-21
Last Update Date2010-12-27
Business Address
-- BRADLEY GRISSOM N.P.
2300 N. VERMILION AVENUE MEDICAL SUB-SPECIALTIES
DANVILLE, IL 61832
Phone number: 217-554-1700
Mailing Address
-- BRADLEY GRISSOM N.P.
P.O. BOX 6002
URBANA, IL 61803-6002
Phone number: 217-326-8300
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