Lori Demain Bradford, | |
1155 S Lombard Ave, Oak Park, IL 60304 | |
(708) 763-0225 | |
(708) 763-0225 |
Full Name | Lori Demain Bradford |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1155 S Lombard Ave, Oak Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043227424 | NPI | - | NPPES |
1606509 | Other | IL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 149004848 (Illinois) | Primary |
Entity Name | Lori Demain Therapy Services Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912335431 PECOS PAC ID: 3476789835 Enrollment ID: O20131114000068 |
Mailing Address | Practice Location Address |
---|---|
Lori Demain Bradford, 1155 S Lombard Ave, Oak Park, IL 60304 Ph: (708) 763-0225 | Lori Demain Bradford, 1155 S Lombard Ave, Oak Park, IL 60304 Ph: (708) 763-0225 |
Deva Suckerman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Harrison St, #ge, Oak Park, IL 60304 Phone: 312-399-7143 Fax: 312-492-9058 | |
Ms. Anna Katarina Berin, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1010 Lake St Ste 110, Oak Park, IL 60301 Phone: 630-428-7890 | |
Charu Saxena Chandra, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1142 Chicago Ave Ste 2e, Oak Park, IL 60302 Phone: 312-479-4779 Fax: 708-779-6131 | |
Ms. Donna English, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Madison St, Oak Park, IL 60302 Phone: 708-859-8004 | |
Taylor Mossing, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Forest Pl Apt P12, Oak Park, IL 60301 Phone: 630-835-4685 | |
Mrs. Gloria E Passalacqua, MA LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6551 W North Ave, Oak Park, IL 60302 Phone: 847-687-4848 Fax: 847-853-0069 | |
Mrs. Sara Lisa Schmitz, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1024 North Blvd, Suite 211, Oak Park, IL 60301 Phone: 773-909-9328 |