| Lori Demain, Therapy Services Ltd | |
|
1155 S. Lombard Ave Oak Park IL 60304-2245 | |
| (708) 763-0225 | |
| (708) 763-0225 |
| Full Name | Lori Demain, Therapy Services Ltd |
|---|---|
| Speciality | Social Worker |
| Location | 1155 S. Lombard Ave, Oak Park, Illinois |
| Authorized Official Name and Position | Lori Demain Bradford (LCSW / OWNER / PRESIDENT) |
| Authorized Official Contact | 7087630225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Demain, Therapy Services Ltd 1155 S. Lombard Ave Oak Park IL 60304-2245 Ph: (708) 763-0225 | Lori Demain, Therapy Services Ltd 1155 S. Lombard Ave Oak Park IL 60304-2245 Ph: (708) 763-0225 |
| NPI Number | 1912335431 |
|---|---|
| Provider Enumeration Date | 10/18/2013 |
| Last Update Date | 10/27/2021 |
| Certification Date | 10/27/2021 |
| Medicare PECOS PAC ID | 3476789835 |
|---|---|
| Medicare Enrollment ID | O20131114000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912335431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149004858 (Illinois) | Primary |
| Provider Name | Lori Demain Bradford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043227424 PECOS PAC ID: 0749415495 Enrollment ID: I20131210000789 |
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