Individual provider · NPI-1

Gregory John Bradshaw, P.T.

General Acute Care Hospital · Park Ridge, IL

NPI number1811209364
StatusActive
Last updated in NPPESJul 12, 2010

Details

NPI
1811209364
Entity type
Individual (NPI-1)
Name
Mr. Gregory John Bradshaw
Credential
P.T.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 12, 2010
Last updated
Jul 12, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282N00000X General Acute Care Hospital070009447ILYes

Practice location

1875 Dempster St
Suite G10
Park Ridge, IL 60068-1186

Phone 847-723-7500

Mailing address

419 E Warwick Rd
Palatine, IL 60074-3873

Phone 847-496-7331

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