Search › Illinois › 152W00000X
Jonathan Bradley, O.D
NPI 1033371729 · on the registry since 2008
Practice
- Address
- 4837 E Rt 36
Central Illinois Vision Center
Decatur, IL 62521 - Phone
- (217) 864-1362
- Fax
- (217) 864-1363
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-07
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