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Contact Information

NICOLE L BRADLEY
840 FOXWORTH BLVD APT 215
LOMBARD, IL60148-4897
 Phone: 630-781-1040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

224ZE0001X
Indicates primary specialty

NPI Profile & details for NICOLE L BRADLEY · (Female)

NPI # 1093698995
Status Active
Credentials
Entity Individual
Enumeration date 07/28/2025
Last updated 07/28/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 057004391
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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