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General NPI Number Information
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NPI Number | 1699841130
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Entity Type | Organization
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Legal Business Name | BRADY ENTERPRISES, INC
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1916 RIDGE RD
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City | HOMEWOOD
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State | IL
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Zip | 60430-1730
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Country | US
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Telephone | 708-957-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 8722 S 88TH AVE
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City | HICKORY HILLS
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State | IL
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Zip | 60457-1201
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Country | US
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Telephone | 708-598-2882
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DEBORAH BRADY
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Credential | R.N.
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Telephone | 708-957-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 203.000425
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 203.000425
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License Number State | IL
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