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NPI Code Detail

MEDICARE: BRADY'S PHARMACY

MEDICARE: BRADY'S PHARMACY
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
1332BP3500XParenteral & Enteral Nutrition Supplies (DME)IL
2332BX2000XOxygen Equipment & Supplies (DME)IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11670765OTHERILBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1033285176
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRADY'S PHARMACY
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 :
Provider Business Practice Location Address
First Line : 3237 W 111TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60655-2730
Country : US
Telephone Number : 773-238-6686
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. DEBORAH BRADY
Credential : R.N.
Telephone Number : 708-598-2882
Provider Enumeration Date : 11/28/2006
Last Update Date : 09/11/2025

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Directions to “BRADY'S PHARMACY ” Practice Location

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