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Gloria Braddock
NPI 1033026042 · on the registry since 2026
Practice
- Address
- 2632 W Pershing Rd
Chicago, IL 60632 - Phone
- (312) 471-8157
- Organisation at this address
- Athletico Ltd.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois