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Contact Information

TAYLOR J BRODER, MD
1950 W POLK ST
CHICAGO, IL60612-3723
 Phone: 312-864-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for TAYLOR J BRODER · (Female)

NPI # 1508616947
Status Active
Credentials MD
Entity Individual
Enumeration date 03/26/2024
Last updated 06/29/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 125.084688
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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