Brydon, James

Brydon, James is an individual health care provider with primary practice located at 1401 Mchenry Rd Ste 122, Buffalo Grove IL 60089-1382. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brydon, James can be contacted via phone (847) 913-0393.

Contact Information

Primary practice address
1401 Mchenry Rd Ste 122 Buffalo Grove IL 60089-1382
Phone: (847) 913-0393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149004304 Illinois

Profile Details

NPI number 1679512602
LBN Legal business name Brydon, James
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Dec 24th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679512602 NPPES
Illinois Other 363994759 TAX IDENTIFICATION NUMBER

Popular Providers