Bradford, Carl

Bradford, Carl is an individual health care provider with primary practice located at 3004 Grand Ave , Waukegan IL 60085-2321. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bradford, Carl can be contacted via phone (847) 377-8197.

Contact Information

Primary practice address
3004 Grand Ave Waukegan IL 60085-2321
Phone: (847) 377-8197
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1760756605
LBN Legal business name Bradford, Carl
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2012
Last updated Feb 23rd, 2012 - about 14 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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