Bryn Mawr Care, Inc.

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

0035618 Issued in IL

Legal business name

BRYN MAWR CARE, INC.

Practice address

5547 N Kenmore Ave
Chicago, IL 60640-1515

Phone

(773) 561-7040

Fax

(773) 561-7543

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Winter, CPA

Title

Cfo

Phone

(847) 675-7979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1891790242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W PRATT AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123517",
            "telephone_number": "847-675-7979",
            "fax_number": "847-674-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5547 N KENMORE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401515",
            "telephone_number": "773-561-7040",
            "fax_number": "773-561-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYN MAWR CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-675-7979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "IL",
            "license": "0035618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanislaw Bryjak, M.D.
• Megan Bryk
• Michele Bryk, PA
• Lauren Elizabeth Bryl, MS, LCGC
• Katie Marie Bryll, CPNP
• Bryn Mawr Oral Pathology & Biopsy Inc
• Emily April Brynelsen, LCSW
• Benjamin Stevens Bryner, M.D.
• James Henry Bryniarski, D.D.S.
• Jamie Bryski, M.S., CCC-SLP

• Mental Illness Intermediate Care Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Illness Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.