Healthcare Provider Details

I. General information

NPI: 1134375785
Provider Name (Legal Business Name): EMILY ELIZABETH BRADOF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2008
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113 S MILWAUKEE AVE SUITE 300
LIBERTYVILLE IL
60048-3758
US

IV. Provider business mailing address

2800 W HIGGINS RD SUITE 895
HOFFMAN ESTATES IL
60169-2071
US

V. Phone/Fax

Practice location:
  • Phone: 847-379-1212
  • Fax: 224-433-6102
Mailing address:
  • Phone: 847-843-1900
  • Fax: 847-843-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number147001223
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: