Vicki Bradley, FNP-BC
Nurse Practitioner in Chicago, IL. Individual provider (NPI-1).
NPI number1265130652
StatusActive
Last updated in NPPESNov 7, 2025
Details
- NPI
- 1265130652
- Entity type
- Individual (NPI-1)
- Name
- Vicki Bradley
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2023
- Certification date
- Nov 7, 2025
- Last updated
- Nov 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209018299 | IL | Yes |
Practice location
11104 S Troy StChicago, IL 60655-2318
Phone 773-941-5125 · Fax 773-351-4149
Mailing address
11104 S Troy StChicago, IL 60655-2318
Phone 773-941-5125 · Fax 773-352-4149
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