Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley Moon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265372536

Bradley Moon is a Student in an Organized Health Care Education/Training Program in Maywood, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-3229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1265372536
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 29, 2026
Mailing address2160 S 1st Ave, Maywood, IL 60153-3328

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