KATHLEEN BRODERICK, LAC, Acupuncturist CHICAGO, IL

Contact Information

KATHLEEN BRODERICK, LAC

11840 S WESTERN AVE
CHICAGO, IL 60643-4734

Phone: 773-233-9000
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Acupuncturist	171100000X

Indicates primary specialty

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NPI Profile & details for KATHLEEN BRODERICK · (Female)

NPI #	`1902164866`
Status	Active
Credentials	LAC
Entity	Individual
Enumeration date	04/30/2012
Last updated	04/30/2012 - About 14 years ago
Sole proprietor ¹	Yes
Identifiers	IL License # 198.000044
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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KATHLEEN BRODERICK, LAC – NPI #1902164866Acupuncturist

Contact Information

Specialty

Acupuncturist

NPI Profile & details for KATHLEEN BRODERICK · (Female)

Reviews for KATHLEEN BRODERICK

KATHLEEN BRODERICK, LAC – NPI #1902164866
Acupuncturist