DR. BRADFORD ANTHONY CZOCHARA (NPI# 1447631551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447631551 |
| Entity Type | Individual |
| Full Name | DR. BRADFORD ANTHONY CZOCHARA |
| Credential | PSY.D. |
| Practice Address |
13318 W Lincoln Hwy New Lenox IL 60451-9540 |
| Mailing Address |
13960 Exeter Ct Orland Park IL 60467-8651 |
| Practice Telephone | 8154624273 |
| Mailing Telephone | 8154624273 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008953 | IL | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
071008953 | IL | Behavioral Health & Social Service Providers |
| Street Address |
13318 W LINCOLN HWY |
| City | NEW LENOX |
| State | IL |
| Zip Code | 60451-9540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548491194 | Stephanie L Bates | Behavioral Analyst | 13318 W Lincoln Hwy, New Lenox, IL 60451-9540 | 2009-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
| 1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
| 1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
| 1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
| 1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
| 1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
| 1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
| 1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
| 1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
| 1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
| Find all providers in zip 60451 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467893305 | Dw Enterprises | Psychologist | 335 Alana Dr, New Lenox, IL 60451-1766 | 2013-07-08 |
| 1841586005 | Michael Robert Mecozzi | Psychologist | 301 Veterans Pkwy, New Lenox, IL 60451-2899 | 2011-06-24 |
| 1093839433 | Dr. Robert E. Puls, P.C. | Psychologist | 1352 N Cedar Rd, New Lenox, IL 60451-1163 | 2007-03-19 |
| 1316099807 | Thomas L Swietzer | Psychologist | 600 Mcdivitt Dr, New Lenox, IL 60451-2162 | 2007-01-17 |
| 1356368195 | Wolfe Behavioral Health P.C. | Psychologist | 339 Alana Dr, New Lenox, IL 60451-1766 | 2006-07-17 |
| 1942282272 | Dora Marie Johns Wolfe | Psychologist | 339 Alana Dr., New Lenox, IL 60451 | 2005-11-14 |
| 1801271408 | Hope With Me LLC | Psychologist | 1361 E Lincoln Hwy, New Lenox, IL 60451 | 2015-07-23 |
| 1366745812 | Aimee Echevarria | Psychologist | 1361 E Lincoln Hwy, New Lenox, IL 60451-2153 | 2010-12-06 |
| 1295069029 | Scott W Stubenrauch | Psychologist | 339 Alana Dr, New Lenox, IL 60451-1766 | 2009-09-26 |
| 1568654168 | Felicia L. Sanford | Psychologist | 339 Alana Dr, New Lenox, IL 60451-1766 | 2007-08-16 |
| Find all providers in NEW LENOX | ||||
Please comment or provide details below to improve the information on DR. BRADFORD ANTHONY CZOCHARA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.