Individual
DR. BRADFORD ANTHONY CZOCHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
14222 S BELL RD, HOMER GLEN, IL 60491-8122
(815) 469-1500
Mailing address
14222 S BELL RD, HOMER GLEN, IL 60491-8122
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071008953
IL
103TC0700X
Clinical Psychologist
071008953
IL
103TP2701X
Group Psychotherapy Psychologist
071008953
IL
Other
Enumeration date
06/15/2015
Last updated
04/04/2022
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