Organization
BRADY'S PHARMACY
Active
Other names
Home Med Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH BRADY R.N. (OWNER)
(708) 598-2882
Entity
Organization
Contact information
Practice address
3237 W 111TH ST, CHICAGO, IL 60655-2730
(773) 238-6686
Mailing address
8722 S 88TH AVE, HICKORY HILLS, IL 60457-1201
(708) 598-2882
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1670765
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/28/2006
Last updated
09/11/2025
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