Kanah Bradley
Case Manager/Care Coordinator in Chicago, IL. Individual provider (NPI-1).
NPI number1184423402
StatusActive
Last updated in NPPESMar 10, 2025
Details
- NPI
- 1184423402
- Entity type
- Individual (NPI-1)
- Name
- Kanah Bradley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2025
- Certification date
- Mar 10, 2025
- Last updated
- Mar 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
219 W Chicago Ave Ste 200Chicago, IL 60654-5600
Phone 872-777-8110
Mailing address
4101 S Michigan Ave Apt 216Chicago, IL 60653-2128
Phone 312-459-2711
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