NPI 1346939360

Bradley William Waite

Practitioner Peer Specialist Wheaton, IL

Practice location

Address: 111 N County Farm Rd, Wheaton, IL 60187-3977
Phone: (630) 682-7400

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1346939360
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2023
Record last updated: 4 May 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.