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Individual
ROSEANN E BRADY
Active
Individual
ROSEANN E BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036101474
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00475158
MEDICARE PTAN
IL
Enumeration date
01/16/2007
Last updated
07/27/2026
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