Bradish, Mary T

Bradish, Mary T is an individual health care provider with primary practice located at 2970 Chartres St , Lasalle IL 61301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Bradish, Mary T can be contacted via phone (815) 223-0196.

Contact Information

Primary practice address
2970 Chartres St Lasalle IL 61301
Phone: (815) 223-0196
Fax: (815) 223-0358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X Illinois

Profile Details

NPI number 1750315594
LBN Legal business name Bradish, Mary T
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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