Joel Bronstein, M.D.
Plastic Surgery in Maywood, IL. Individual provider (NPI-1).
NPI number1912380718
StatusActive
Last updated in NPPESJun 30, 2015
Details
- NPI
- 1912380718
- Entity type
- Individual (NPI-1)
- Name
- Joel Bronstein
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2015
- Last updated
- Jun 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | BF 4649604-B 617 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
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