MEDICARE: DREAS & BRENNAN, LTD.

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	103TC0700X	Clinical Psychologist		IL

General Provider Information

NPI Number	:	1104831643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DREAS & BRENNAN, LTD.

Provider Business Mailing Address
First Line	:	2500 W FARWELL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-4618
Country	:	US
Telephone Number	:	773-743-2466
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 W FARWELL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-4618
Country	:	US
Telephone Number	:	773-743-2466
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DR. THOMAS P. BRENNAN
Credential	:	PH.D.
Telephone Number	:	773-743-2466

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	08/22/2020

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