Richard William Broderick in Elgin - Neurological Surgery
Richard William Broderick - NPI 1285718833
Richard William Broderick is a Neurological Surgery in Elgin, Illinois. Richard William Broderick practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Richard William Broderick is 1285718833. The last update date is 2021-12-17.
Richard William Broderick's current location address is 1435 N Randall Rd Ste 107, Elgin, Illinois. You can contact this provider via phone number 2243590130 and fax number 2243590129. The mailing address for Richard William Broderick is 1435 N Randall Rd Ste 107, Elgin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard William Broderick |
|---|---|
| Address | 1435 N Randall Rd Ste 107, Elgin, Illinois |
| Phone Number | 2243590130 |
| Fax Number | 2243590129 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285718833 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2021-12-17 |
Provider Mailing Address Detail
| Address | 1435 N Randall Rd Ste 107 |
|---|---|
| City | Elgin |
| State | Illinois (IL) |
| Post Code | 601232302 |
| Phone Number | 2243590130 |
| Fax Number | 2243590129 |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
| Licence No | DR.0063270 |
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Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9000181241 | CO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Richard William Broderick by the Centers for Medicare & Medicaid Services?
The Richard William Broderick has been issued the NPI (National Provider Identifier) 1285718833. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Richard William Broderick is geographically located?
The Richard William Broderick is physically situated at the following location: 1435 N Randall Rd Ste 107, Elgin, IL, 601232302.
What is the Richard William Broderick's specialty and taxonomy code?
The Richard William Broderick's specialty is Neurological Surgery, and the corresponding taxonomy code is 207T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285718833 to Richard William Broderick?
The Richard William Broderick received its 1285718833 assignment from the Centers for Medicare & Medicaid Services on 2006-10-24.
When was the Richard William Broderick's information last updated?
The Richard William Broderick's information was last updated on 2021-12-17.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL