Broderick, Kathleen

Broderick, Kathleen is an sole proprietor health care provider with primary practice located at 11840 S Western Ave , Chicago IL 60643-4734. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Broderick, Kathleen can be contacted via phone (773) 233-9000.

Contact Information

Primary practice address
11840 S Western Ave Chicago IL 60643-4734
Phone: (773) 233-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 198.000044 Illinois

Profile Details

NPI number 1902164866
LBN Legal business name Broderick, Kathleen
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2012
Last updated Apr 30th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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