Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY WILLIS
Active Sole ProprietorVeterinarian · ATHENS, IL
Registration Details
- NPI Number
- 1922419605
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2014 (11.998524351497 yrs)
- Last Updated
- May 15, 2014
- License
-
090008708 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 N MAIN STATHENS, IL, 626138901Browse IL providers · Browse ZIP 62613
- Phone
- 2176367388
- Primary Specialty
-
Veterinarian
174M00000X
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.