| Nicole Brod, D.c. Llc | |
|
1121 Warren Ave Suite 270 Downers Grove IL 60515-3570 | |
| (708) 380-0090 | |
| Not Available |
| Full Name | Nicole Brod, D.c. Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1121 Warren Ave, Downers Grove, Illinois |
| Authorized Official Name and Position | Nicole Brod (PRESIDENT) |
| Authorized Official Contact | 7083800090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Brod, D.c. Llc 200 Village Rd Willowbrook IL 60527-6165 Ph: (708) 380-0090 | Nicole Brod, D.c. Llc 1121 Warren Ave Suite 270 Downers Grove IL 60515-3570 Ph: (708) 380-0090 |
| NPI Number | 1952739070 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 10/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952739070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038.012491 (Illinois) | Primary |
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