Jones, Bradley W.

Jones, Bradley W. is an individual health care provider with primary practice located at 3000 Dundee Rd Suite 418, Northbrook IL 60062-2422. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Jones, Bradley W. can be contacted via phone (847) 480-7833.

Contact Information

Primary practice address
3000 Dundee Rd Suite 418 Northbrook IL 60062-2422
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 056 003367 Illinois

Profile Details

NPI number 1114058302
LBN Legal business name Jones, Bradley W.
Credentials OTR L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jan 10th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114058302 NPPES
Illinois Other 01633043 BC BS OF IL PROVIDER

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