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Contact Information

D JAMIESON BRADY, DDS
1249 N GREENVIEW AVE APT 1
CHICAGO, IL60642
 Phone: 315-941-7633
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for D JAMIESON BRADY · (Male)

NPI Number 1053867317
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/28/2016
Last updated 08/28/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 319.020159
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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