Brodersen, Gay Winifred

Brodersen, Gay Winifred is an individual health care provider with primary practice located at 1880 N Roselle Rd Ste.212, Schaumburg IL 60195-3197. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Brodersen, Gay Winifred can be contacted via phone (847) 882-3360.

Contact Information

Primary practice address
1880 N Roselle Rd Ste.212 Schaumburg IL 60195-3197
Phone: (847) 882-3360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.023646 Illinois
Dental Providers / Pediatric Dentistry 1223P0221X 021.001749 Illinois

Profile Details

NPI number 1972766798
LBN Legal business name Brodersen, Gay Winifred
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Sep 24th, 2008 - about 17 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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