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Bradley Smith
NPI 1134576192 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1230 N Highland Ave
Aurora, IL 60506 - Phone
- (630) 966-4339
- Fax
- (630) 859-3841
- Organisation at this address
- Genoa Healthcare Llc
Association For Individual Development
Association For Individual Development
Association For Individual Development
Association For Individual DevelopmentInferred from a shared address, not stated in the registry. - Clinicians at this address
- 150
Registry record
- Primary taxonomy
- Nursing Care Agency
251J00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-19
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