Coburn, Brady Jay

Coburn, Brady Jay is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Coburn, Brady Jay can be contacted via phone (708) 327-3041.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153
Phone: (708) 327-3041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Illinois
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 125.072863 Illinois

Profile Details

NPI number 1811491202
LBN Legal business name Coburn, Brady Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2018
Last updated Jun 6th, 2018 - about 7 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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