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Organization

BRADY ENTERPRISES, INC

Active
Other names
Home Med Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORAH BRADY R.N. (OWNER)
(708) 957-7676
Entity
Organization

Contact information

Practice address
1916 RIDGE RD, HOMEWOOD, IL 60430-1730
(708) 957-7676
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)
Primary
203.000425
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
203.000425
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1617750
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/27/2006
Last updated
09/11/2025
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