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Mr. Bradley Groleau
Student in an Organized Health Care Education/Training Program in Peru, Illinois
NPI 1689025405

Bradley Groleau is a Student in an Organized Health Care Education/Training Program based in Peru, IL. Bradley Groleau practices in Peru, IL. The NPI Number for Bradley Groleau is 1689025405 and holds a License No. (Illinois).

The current practice location address for Bradley Groleau is 2995 Carrie St, Peru, IL and can be reached out via phone at 815-830-7934.

Location: 2995 Carrie St, Peru, IL, 61354-1387
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689025405
Provider Name
Bradley Groleau
Credential
Provider Entity Type
Individual
Gender
Male
Address
2995 Carrie St, Peru, IL, 61354-1387
Phone Number
815-830-7934
Fax Number
Provider Enumeration Date
06/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2995 Carrie St
City
Peru
State
Illinois
Zip
61354-1387
Phone Number
815-830-7934
Fax Number
person
Provider Business Mailing Address Details
Address
2995 Carrie St
City
Peru
State
Illinois
Zip
61354-1387
Phone Number
815-830-7934
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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