Amy L Brodsky, MD
Dermatology, Procedural Dermatology in Rockford, IL. Individual provider (NPI-1).
NPI number1205825056
StatusActive
Last updated in NPPESFeb 13, 2024
Details
- NPI
- 1205825056
- Entity type
- Individual (NPI-1)
- Name
- Amy L Brodsky
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2005
- Certification date
- Feb 13, 2024
- Last updated
- Feb 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207NS0135X | Dermatology, Procedural Dermatology | 036-103935 | IL | Yes |
Practice location
5995 Spring Creek RdRockford, IL 61114-6481
Phone 815-977-4403
Mailing address
5995 Spring Creek RdRockford, IL 61114-6481
Phone 815-977-4403
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