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Dr. Bradley C Stolbach

Clinical Child & Adolescent Psychologist

6700 S. Promontory Drive
Chicago , Illinois 60649

Write a Review Save Call QR Code

(773) 256-5735

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Dr. Bradley C Stolbach

Clinical Child & Adolescent Psychologist

6700 S. Promontory Drive
Chicago , Illinois 60649

(773) 256-5735

Write a Review Save Call

Dr. Bradley C Stolbach

Clinical Child & Adolescent Psychologist

6700 S. Promontory Drive
Chicago , Illinois 60649

(773) 256-5735 Call

Write a Review Save
About
Location
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Dr. Bradley C Stolbach
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About

Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Child & Adolescent Psychologist

Languages spoken

  • English

Location

6700 S. Promontory Drive Chicago , Illinois 60649
Get Directions

First Address

  • Dr. Bradley C Stolbach
  • 6700 S. Promontory Drive
  • Chicago, IL
  • Zip : 60649
  • Phone : (773) 256-5735

Second Address

  • Dr. Bradley C Stolbach
  • 6700 S. Promontory Drive
  • Chicago, IL
  • Zip : 60649
  • Phone : (773) 256-5735

Reviews

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FAQs

Where did Dr. Bradley C Stolbach attend graduate school?

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Where did Dr. Bradley C Stolbach do his residency?

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Where did Dr. Bradley C Stolbach do his fellowship?

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Is Dr. Bradley C Stolbach board certified?

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What type of doctor is Dr. Bradley C Stolbach

Clinical Child & Adolescent Psychologist

In what state does Dr. Bradley C Stolbach practice in?

Illinois

Where is Dr. Bradley C Stolbach ’s practice located?

6700 S. Promontory Drive , Chicago, Illinois, 60649

What is Dr. Bradley C Stolbach ’s gender?

Male

Is Dr. Bradley C Stolbach a sole practitioner?

No

Is Dr. Bradley C Stolbach accepting new patients?

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What languages does Dr. Bradley C Stolbach speak?

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Does Dr. Bradley C Stolbach accept insurance?

Yes, Dr. Bradley C Stolbach accepts insurance

Does Dr. Bradley C Stolbach offers telemedicine?

Dr. Bradley C Stolbach has not indicated if he offers telemedicine

What is Dr. Bradley C Stolbach ’s professional license number?

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What is Dr. Bradley C Stolbach ’s NPI number?

1114113487

Does Dr. Bradley C Stolbach have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103TC2200X Clinical Child & Adolescent Psychologist IL

National Provider Identifier

NPI 1114113487
Provider Name Dr. Bradley C Stolbach
First Address Chicago, IL 60649
Second Address Chicago, IL 60649
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 20/09/2007
Last Update Date 20/09/2007

NPI Footnotes

What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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