BRAD W VANDEVELDE

SHOREWOOD, IL
NPI1942466438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-016543)
Enumeration Date2008-08-04
Last Update Date2013-10-23
Business Address
-- BRAD W VANDEVELDE PT
972 BROOK FOREST AVE
SHOREWOOD, IL 60404-8807
Phone number: 815-439-4938
Mailing Address
-- BRAD W VANDEVELDE PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: