Matthew Scott Brodhead, MD
Psychiatry & Neurology, Neurology in Maywood, IL. Individual provider (NPI-1).
NPI number1427751379
StatusActive
Last updated in NPPESMay 31, 2023
Details
- NPI
- 1427751379
- Entity type
- Individual (NPI-1)
- Name
- Matthew Scott Brodhead
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2023
- Certification date
- May 31, 2023
- Last updated
- May 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 125081439 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 715-892-0495
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
Phone 888-584-7888
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