Bradley, Ryan

Bradley, Ryan is an individual health care provider with primary practice located at 5465 Grand Ave , Gurnee IL 60031-4913. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bradley, Ryan can be contacted via phone (847) 356-3322.

Contact Information

Primary practice address
5465 Grand Ave Gurnee IL 60031-4913
Phone: (847) 356-3322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-008896 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1700187036
LBN Legal business name Bradley, Ryan
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2010
Last updated Nov 16th, 2016 - about 8 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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