Czochara, Bradford Anthony
Czochara, Bradford Anthony is an individual health care provider with primary practice located at 14222 S Bell Rd , Homer Glen IL 60491-8122. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Czochara, Bradford Anthony can be contacted via phone (815) 469-1500.Contact Information
Primary practice address
14222 S Bell Rd
Homer Glen IL 60491-8122
Phone: (815) 469-1500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071008953 | Illinois |
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 071008953 | Illinois |
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 071008953 | Illinois |
Profile Details
NPI number | 1447631551 |
---|---|
LBN Legal business name | Czochara, Bradford Anthony |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2015 |
Last updated | Apr 4th, 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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