NPI 1184309296
Bradley Petrik
Practice location
- Address
- 1380 Pennsylvania Ave, Des Plaines, IL 60018-1119
- Phone
- (847) 209-2357
- Mailing address
- 3254 N Ridgeway Ave APT 1, Chicago, IL 60618-5268
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1184309296
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Jun 2023
- Record last updated
- 16 Jun 2023
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.