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Contact Information

RUSSELL M BRODY, OD
1544 SHERMER RD
NORTHBROOK, IL60062-5347
 Phone: 847-498-4770
 Fax: 847-498-6909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RUSSELL M BRODY · (Male)

NPI Number 1982711354
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/23/2006
Last updated 08/26/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 046-009251
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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