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Bradley Bauman, ATC
Other Specialist/Technologist in Rockford, Illinois
NPI 1114323409

Bradley Bauman is a Other Specialist/Technologist based in Rockford, IL. Bradley Bauman practices in Rockford, IL and has the professional credentials of ATC. The NPI Number for Bradley Bauman is 1114323409 and holds a License No. 096003283 (Illinois).

The current practice location address for Bradley Bauman is 5045 Silver Fox Trl, Rockford, IL and can be reached out via phone at 815-315-7662.

Location: 5045 Silver Fox Trl, Rockford, IL, 61114-7085
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114323409
Provider Name
Bradley Bauman
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
5045 Silver Fox Trl, Rockford, IL, 61114-7085
Phone Number
815-315-7662
Fax Number
Provider Enumeration Date
11/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5045 Silver Fox Trl
City
Rockford
State
Illinois
Zip
61114-7085
Phone Number
815-315-7662
Fax Number
person
Provider Business Mailing Address Details
Address
5045 Silver Fox Trl
City
Rockford
State
Illinois
Zip
61114-7085
Phone Number
815-315-7662
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
096003283 (Illinois)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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