Organization · NPI-2

A.M. & M.D. Brohner D.P.M., INC

Podiatrist · Chicago, IL

NPI number1730396318
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1730396318
Entity type
Organization (NPI-2)
Legal business name
A.M. & M.D. Brohner D.P.M., INC
Organization subpart
No
Enumeration date
May 16, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist016-001966ILYes

Practice location

5318 W Devon Ave
Chicago, IL 60646-4108

Phone 773-792-9300

Mailing address

5318 W Devon Ave
Chicago, IL 60646-4108

Phone 773-792-9300

Authorized official

Martin D. Brohner
President
7737929300

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