Provider Demographics
NPI:1447447214
Name:BRADY HAMMONDS, YVONNE RUTH (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:RUTH
Last Name:BRADY HAMMONDS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5521 W HADDON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60651-2702
Mailing Address - Country:US
Mailing Address - Phone:773-921-3721
Mailing Address - Fax:773-921-3721
Practice Address - Street 1:5521 W HADDON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60651-2702
Practice Address - Country:US
Practice Address - Phone:773-921-3721
Practice Address - Fax:773-921-3721
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490027131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty