BRADLEY WELLNESS PLLC
NPI 1023980984
Nurse Practitioner - Family in Chicago, IL

Active since September 20, 2025
11104 S TROY ST, CHICAGO, IL 60655(773) 941-5125(773) 352-4149 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2025, Sep 20, 2025 (2 updates tracked since 2025).

About Bradley Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY WELLNESS PLLC (NPI 1023980984) is a healthcare organization registered as a family in Chicago, Illinois and active in the NPI registry since September 2025. The organization lists Vicki Bradley, Owner, as its authorized official.

NPPES Registry Identity

NPI1023980984
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBRADLEY WELLNESS PLLC
Location Address11104 S TROY STChicago, IL 60655-2318
Mailing Address11104 S Troy StChicago, IL 60655-2318 · (773) 679-4609
Fax(773) 352-4149
Organization SubpartNo
Authorized OfficialVicki BradleyOwner · (773) 679-4609
Enumeration DateSeptember 20, 2025
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
NPI 1023980984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
11104 S TROY ST, Chicago, IL 60655

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
11104 S TROY ST
CHICAGO, IL 60655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Wellness PLLC's NPI number?

The NPI number for Bradley Wellness PLLC is 1023980984. It was assigned to this organization in the NPPES registry on September 20, 2025.

Where is Bradley Wellness PLLC located?

Bradley Wellness PLLC is located at 11104 S Troy St, Chicago, IL 60655. The listed phone number is (773) 941-5125.

What is Bradley Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bradley Wellness PLLC was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.