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1942466438
BRAD W VANDEVELDE
SHOREWOOD, IL
NPI
1942466438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-016543)
Enumeration Date
2008-08-04
Last Update Date
2013-10-23
Business Address
-- BRAD W VANDEVELDE PT
972 BROOK FOREST AVE
SHOREWOOD, IL 60404-8807
Phone number: 815-439-4938
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Mailing Address
-- BRAD W VANDEVELDE PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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