Individual
ASHANTA P BRADY
Active
Individual
ASHANTA P BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.170779
IL
208000000X
Pediatrics Physician
036.170779
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.170779
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
05/13/2020
Last updated
08/17/2026
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