Demain Bradford, Lori
Demain Bradford, Lori is an sole proprietor health care provider with primary practice located at 1155 S Lombard Ave , Oak Park IL 60304. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Demain Bradford, Lori can be contacted via phone (708) 763-0225.Contact Information
Primary practice address
1155 S Lombard Ave
Oak Park IL 60304
Phone: (708) 763-0225
Fax: (708) 763-0225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 149004848 | Illinois |
Profile Details
| NPI number | 1043227424 |
|---|---|
| LBN Legal business name | Demain Bradford, Lori |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Oct 26th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043227424 | NPPES |
| Illinois | Other | 1606509 | BLUE CROSS |
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