MEDICARE: BRADY ENTERPRISES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	203000423	IL
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	203000423	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1617750	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1558437483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRADY ENTERPRISES, INC

Provider Business Mailing Address
First Line	:	8722 S. 88TH AVE.
Second Line	:
City	:	HICKORY HILLS
State	:	IL
Zip	:	60457-1201
Country	:	US
Telephone Number	:	708-598-2882
Fax Number	:	708-598-4719

Provider Business Practice Location Address
First Line	:	8722 S. 88TH AVE.
Second Line	:
City	:	HICKORY HILLS
State	:	IL
Zip	:	60457-1201
Country	:	US
Telephone Number	:	708-598-2882
Fax Number	:	708-598-4719

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. DEBORAH BRADY
Credential	:	R.N.
Telephone Number	:	708-598-2882

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	09/11/2025

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Directions to “BRADY ENTERPRISES, INC ” Practice Location

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