National Provider Identifier Database

KATHLEEN BRODERICK, LAC – NPI #1902164866
Acupuncturist

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.


Contact Information

KATHLEEN BRODERICK, LAC
11840 S WESTERN AVE
CHICAGO, IL60643-4734
Phone: 773-233-9000
Fax:
Website:
Specialty Taxonomy Code
* Acupuncturist 171100000X

* Indicates primary specialty

NPI Profile & details for KATHLEEN BRODERICK

NPI Number 1902164866
Credentials LAC
Entity Individual
Enumeration date 04/30/2012
Last updated 04/30/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 198.000044
Hospital affiliation n/a

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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