Nadine Brodala is a Periodontics in Chicago, Illinois. Nadine Brodala practices all healthcare services and medical treatments related to Periodontics. 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 |
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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 |
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Provider Enumeration Date | 2007-01-08 |
Last Updated Date | 2011-08-19 |
Provider Mailing Address Detail
Address | 25 E Washington St |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606021708 |
Phone Number | 3126412572 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 48 |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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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 Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
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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