BRADLEY THOMPSON

CHAMPAIGN, IL
NPI1982230124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209.021514.041.49794)
Additional Taxonomies163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: OH  RN.458795)
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: IL  041.494794)
Enumeration Date2020-03-19
Last Update Date2021-01-29
Business Address
BRADLEY THOMPSON APRN-CNP
1802 S MATTIS AVE
CHAMPAIGN, IL 61821-5923
Phone number: 217-365-2855
Mailing Address
BRADLEY THOMPSON APRN-CNP
611 W PARK ST FAPC
URBANA, IL 61801
Phone number: