Bradley Stolbach in Chicago - Clinical Child & Adolescent
Bradley Stolbach - NPI 1114113487
Bradley Stolbach is a Clinical Child & Adolescent in Chicago, Illinois. Bradley Stolbach practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Bradley Stolbach is 1114113487. The last update date is 2022-10-24.
Bradley Stolbach's current location address is 5841 S Maryland Ave, Chicago, Illinois. You can contact this provider via phone number 8888240200. The mailing address for Bradley Stolbach is 5841 S Maryland Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Stolbach |
|---|---|
| Address | 5841 S Maryland Ave, Chicago, Illinois |
| Phone Number | 8888240200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114113487 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2022-10-24 |
Provider Mailing Address Detail
| Address | 5841 S Maryland Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606371443 |
| Phone Number | 8888240200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 71005731 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Bradley Stolbach?
The Bradley Stolbach has been issued the NPI (National Provider Identifier) 1114113487 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Bradley Stolbach's facilities are geographically located?
The facilities of Bradley Stolbach are physically situated at the following location: 5841 S Maryland Ave, Chicago, IL, 606371443.
What is Bradley Stolbach's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bradley Stolbach is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.
On what date did the Bradley Stolbach receive its 1114113487 assignment from the Centers for Medicare & Medicaid Services?
The Bradley Stolbach was assigned its 1114113487 by the Centers for Medicare & Medicaid Services on 2007-09-20.
When was the information regarding Bradley Stolbach most recently updated?
The details pertaining to the Bradley Stolbach, including its address, specialty, and other relevant information, were last refreshed on 2022-10-24.