Brady, Peter A

Brady, Peter A is an individual health care provider with primary practice located at 3134 N Clark St , Chicago IL 60657-4414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Brady, Peter A can be contacted via phone (773) 880-9722.

Contact Information

Primary practice address
3134 N Clark St Chicago IL 60657-4414
Phone: (773) 880-9722
Fax: (773) 880-9723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 39616 Minnesota
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 39616 Minnesota
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036149204 Illinois

Profile Details

NPI number 1215901301
LBN Legal business name Brady, Peter A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated May 19th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215901301 NPPES
Minnesota MEDICAID 490951800

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