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Contact Information

KENICE A BROUGHMAN, D.C.
4555 N LINCOLN AVE
CHICAGO, IL60625-2102
 Phone: 386-763-2763
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor - Nutrition

111NN1001X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for KENICE A BROUGHMAN · (Female)

NPI Number 1215944855
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 08/02/2006
Last updated 01/13/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # CH0006374
  • IL License # 038.005796
  • FL Medicaid 000872000
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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