Search › Illinois › 367500000X
Bradley Reatherford
NPI 1326288812 · on the registry since 2009
Practice
- Address
- 221 Northeast Ave
Peoria, IL 61636 - Phone
- (309) 672-5654
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-07-12
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