Mrs Mary T Bradish, CNM is a
Advanced Practice Midwife based in Lasalle, Illinois. Mrs Mary T Bradish is licensed to practice in Illinois (license number ) and her current practice location is
2970 Chartres St, Lasalle, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 223-0196.
NPI number for Mrs Mary T Bradish is 1750315594 and her current mailing address is 830 Monks Ave, Peru, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750315594.
Provider's Profile
Full Name | Mrs Mary T Bradish |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 2970 Chartres St, Lasalle, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750315594
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Mary T Bradish such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750315594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary T Bradish is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Mary T Bradish, CNM 830 Monks Ave, Peru, IL 61354 Ph: (815) 224-2131 | Mrs Mary T Bradish, CNM 2970 Chartres St, Lasalle, IL 61301 Ph: (815) 223-0196 |
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