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Bradley William Waite
Peer Specialist in Wheaton, Illinois
NPI 1346939360

Bradley William Waite is a Peer Specialist based in Wheaton, IL. Bradley William Waite practices in Wheaton, IL. The NPI Number for Bradley William Waite is 1346939360 and holds a License No. (Illinois).

The current practice location address for Bradley William Waite is 111 N County Farm Rd, Wheaton, IL and can be reached out via phone at 630-682-7400. You can also correspond with Bradley William Waite through the mailing address at 111 N COUNTY FARM RD, WHEATON, IL - 60187-3977 (mailing address contact number: 630-682-7400).

Location: 111 N County Farm Rd, Wheaton, IL, 60187-3977
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346939360
Provider Name
Bradley William Waite
Credential
Provider Entity Type
Individual
Gender
Male
Address
111 N County Farm Rd, Wheaton, IL, 60187-3977
Phone Number
630-682-7400
Fax Number
Provider Enumeration Date
05/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 N County Farm Rd
City
Wheaton
State
Illinois
Zip
60187-3977
Phone Number
630-682-7400
Fax Number
person
Provider Business Mailing Address Details
Address
111 N County Farm Rd
City
Wheaton
State
Illinois
Zip
60187-3977
Phone Number
630-682-7400
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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