person
Lori Demain Bradford
Mental Health Counselor in Oak Park, Illinois
NPI 1043227424

Lori Demain Bradford is a Mental Health Counselor based in Oak Park, IL and is specialized in Mental Health. Lori Demain Bradford practices in Oak Park, IL. The NPI Number for Lori Demain Bradford is 1043227424 and holds a License No. 149004848 (Illinois).

The current practice location address for Lori Demain Bradford is 1155 S Lombard Ave, Oak Park, IL and can be reached out via phone at 708-763-0225 and via fax at 708-763-0225. You can also correspond with Lori Demain Bradford through the mailing address at 1155 S LOMBARD AVE, OAK PARK, IL - 60304 (mailing address contact number: 708-763-0225).

Location: 1155 S Lombard Ave, Oak Park, IL, 60304
person
Provider Profile Details
NPI Number
1043227424
Provider Name
Lori Demain Bradford
Credential
Provider Entity Type
Individual
Gender
Female
Address
1155 S Lombard Ave, Oak Park, IL, 60304
Phone Number
708-763-0225
Fax Number
708-763-0225
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1606509 01 IL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1155 S Lombard Ave
City
State
Zip
60304
Phone Number
708-763-0225
Fax Number
708-763-0225
person
Provider Business Mailing Address Details
Address
1155 S Lombard Ave
City
State
Zip
60304
Phone Number
708-763-0225
Fax Number
708-763-0225
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
149004848 (Illinois)
Definition
Definition to come...
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