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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GREGORY JOHN BRADSHAW, P.T.

Active Sole Proprietor

MR. GREGORY JOHN BRADSHAW, P.T. is a General Acute Care Hospital healthcare provider located in PARK RIDGE, Illinois. NPI 1811209364 is currently active in the NPPES registry. Verify at CMS.

General Acute Care Hospital · PARK RIDGE, IL

Registration Details

NPI Number
1811209364
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2010 (16.126761442831 yrs)
Last Updated
Jul 12, 2010
License
070009447 (IL)
Sole Proprietor
Yes

Practice Information

Address
1875 DEMPSTER ST
SUITE G10
PARK RIDGE, IL, 600681186
Browse IL providers · Browse ZIP 60068
Phone
8477237500
Primary Specialty
General Acute Care Hospital
282N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.