Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY T BRADISH, CNM
ActiveMRS. MARY T BRADISH, CNM is a Advanced Practice Midwife healthcare provider located in LASALLE, Illinois. NPI 1750315594 is currently active in the NPPES registry. Verify at CMS.
Advanced Practice Midwife · LASALLE, IL
Registration Details
- NPI Number
- 1750315594
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2006 (20.063668280793 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
2970 CHARTRES STLASALLE, IL, 61301Browse IL providers · Browse ZIP 61301
- Phone
- 8152230196
- Fax
- 8152230358
- Primary Specialty
-
Advanced Practice Midwife
367A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.