Bradley Procek

NPI 1275813776 - Counselor - 101Y00000X

NPI Details
NPI 1275813776
Gender Male
Enumeration Date 08/29/2011
Last Updated 08/29/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
421 W EXCHANGE ST
FREEPORT IL, 61032-4008, US
Phone (815) 599-7300
Fax
Business Location
PO BOX 813
FREEPORT IL, 61032-0813, US
Phone
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State Illinois
License Number 208000221
Remove 1275813776 NPI Number
 

According to our database, Bradley Procek NPI is 1275813776, taxonomy code is 101Y00000X and license number is 208000221, license state is located at Illinois. Bradley Procek physically located at 421 W Exchange St, Freeport IL, 61032-4008. NPI Number Bradley Procek has the Individual type.

Sponsored links

1275813776 NPI number is provided on an as is basis without warranty of any kind. 1275813776 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Procek are for informational purposes only.