Individual
JONATHAN BRADLEY BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
180 N MICHIGAN AVE STE 1040, CHICAGO, IL 60601-7421
(312) 346-5156
Mailing address
3941 N PINE GROVE AVE APT 310, CHICAGO, IL 60613-3309
(276) 618-6517
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.109498
IL
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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