Nadine Brodala in Chicago - Dentist

Nadine Brodala - NPI 1417005109

Nadine Brodala is a Dentist in Chicago, Illinois. Nadine Brodala practices all healthcare services and medical treatments related to Dentist. The NPI Number for Nadine Brodala is 1417005109. The last update date is 2011-08-19.

Nadine Brodala's current location address is 25 E Washington St, Chicago, Illinois. You can contact this provider via phone number 3126412572. The mailing address for Nadine Brodala is 25 E Washington St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Nadine Brodala
Address 25 E Washington St, Chicago, Illinois
Phone Number 3126412572
Fax Number
Sole Proprietor N
Credentials DDS, MS, D

NPI Number Detail

NPI Number 1417005109
Provider Enumeration Date 2007-01-08
Last Updated Date 2011-08-19

Provider Mailing Address Detail

Address 25 E Washington St
City Chicago
State Illinois (IL)
Post Code 606021708
Phone Number 3126412572
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19028809
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Nadine Brodala

What is the unique 10-digit identification code issued to Nadine Brodala by the Centers for Medicare & Medicaid Services?

The Nadine Brodala has been assigned the NPI (National Provider Identifier) 1417005109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Nadine Brodala is located?

The Nadine Brodala is situated at the following address: 25 E Washington St, Chicago, IL, 606021708.

What is Nadine Brodala's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Nadine Brodala is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date was the 1417005109 assigned to Nadine Brodala?

The Nadine Brodala was issued its 1417005109 on 2007-01-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Nadine Brodala's details last updated?

The information pertaining to the Nadine Brodala, including its address, specialty, and other details, was most recently updated on 2011-08-19.

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