Brad Jones Progressive Pediatrics PC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

056 003367 Issued in IL

Legal business name

BRAD JONES PROGRESSIVE PEDIATRICS PC

Practice address

3000 Dundee Rd
Northbrook, IL 60062-2422

Phone

(847) 480-7833

NPI assigned

Mar 28, 2007

Last updated

Jan 10, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brad Jones

Title

President

Phone

(847) 480-7833

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diego Casillas

  • Occupational Therapist
  • Northbrook, IL
  • NPI 1902155542
  NPD (past)
• Julie L Conway, OTRL

  • Occupational Therapist
  • Northbrook, IL
  • NPI 1790998011
  NPD (past)
• Bradley W. Jones, OTR L

  • Pediatric Occupational Therapist
  • Northbrook, IL
  • NPI 1114058302
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1851410062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 DUNDEE RD",
            "address_2": "SUITE 418",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622422",
            "telephone_number": "847-480-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 DUNDEE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622422",
            "telephone_number": "847-480-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD JONES PROGRESSIVE PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-480-7833"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": "056 003367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER NUMBER",
            "identifier": "01633043",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariana Boutain, BCBA-D
• Sarah Elizabeth Bouton
• Felice Ann Boyer
• Monika Jeanay Boyer
• Silvia Francesca Bozzano Beck, PHD
• Brandon C. Gimbel, M.D., LLC
• Julie Brannen
• Lisa Melanie Bratcher
• Bravo Care of Northbrook Inc (Rosewood Care Center of Northbrook)
• Samantha Lynn Bray, LCSW

• Public Health or Welfare Agency in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Public Health or Welfare Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.