Individual
KANAH BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 W CHICAGO AVE STE 200, CHICAGO, IL 60654-5600
(872) 777-8110
Mailing address
4101 S MICHIGAN AVE APT 216, CHICAGO, IL 60653-2128
(312) 459-2711
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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