Search › Illinois › 207Q00000X
Bradley Cobb
NPI 1356907570 · on the registry since 2019 · sole proprietor
Practice
- Address
- 815 Main St Ste C
Peoria, IL 61602 - Phone
- (309) 672-4977
- Clinicians at this address
- 87
Additional practice sites
- 500 S Preston St Rm 305, Louisville, KY
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois