NPI 1053046581
Bradley Michael Olsen
Practice location
- Address
- 309 New Indian Trail CT, Aurora, IL 60506-2411
- Phone
- (630) 966-4000
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1053046581
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Jul 2022
- Record last updated
- 19 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.