Brodala, Nadine

Brodala, Nadine is an individual health care provider with primary practice located at 25 E Washington St 1125, Chicago IL 60602-1708. She recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Brodala, Nadine can be contacted via phone (312) 641-2572.

Contact Information

Primary practice address
25 E Washington St 1125 Chicago IL 60602-1708
Phone: (312) 641-2572
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 0048 North Carolina
Dental Providers / Periodontics 1223P0300X DE9503 Washington
Dental Providers / Dentist 122300000X 019028809 Illinois

Profile Details

NPI number 1417005109
LBN Legal business name Brodala, Nadine
Credentials DDS, MS, DMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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