Healthcare Provider Details

I. General information

NPI: 1033285176
Provider Name (Legal Business Name): BRADY'S PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3237 W 111TH ST
CHICAGO IL
60655-2730
US

IV. Provider business mailing address

8722 S 88TH AVE
HICKORY HILLS IL
60457-1201
US

V. Phone/Fax

Practice location:
  • Phone: 773-238-6686
  • Fax:
Mailing address:
  • Phone: 708-598-2882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateIL

VIII. Authorized Official

Name: MRS. DEBORAH BRADY
Title or Position: OWNER
Credential: R.N.
Phone: 708-598-2882