Provider Demographics
NPI:1700940004
Name:SCHUYLER, BRADY JAMES (DC)
Entity Type:Individual
Prefix:
First Name:BRADY
Middle Name:JAMES
Last Name:SCHUYLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7925 BROOKBANK RD
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-2423
Mailing Address - Country:US
Mailing Address - Phone:630-253-5505
Mailing Address - Fax:
Practice Address - Street 1:7925 BROOKBANK RD
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-2423
Practice Address - Country:US
Practice Address - Phone:630-253-5505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL38-009393111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02232771OtherBCBS PIN
IL02232771OtherBCBS PIN