Bradley, Ezrina

Bradley, Ezrina is an individual health care provider with primary practice located at 6918 W Windsor Ave , Berwyn IL 60402-3334. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bradley, Ezrina can be contacted via phone (708) 995-3836.

Contact Information

Primary practice address
6918 W Windsor Ave Berwyn IL 60402-3334
Phone: (708) 995-3836
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1417693391
LBN Legal business name Bradley, Ezrina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2022
Last updated May 12th, 2022 - about 2 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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