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Contact Information

MARY T BRADISH, CNM
2970 CHARTRES ST
LASALLE, IL61301
 Phone: 815-223-0196
 Fax: 815-223-0358
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for MARY T BRADISH · (Female)

NPI # 1750315594
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 07/10/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
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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