Brody, Cheryl L

Brody, Cheryl L is an individual health care provider with primary practice located at 17850 Kedzie Ave Ste 3250 , Hazel Crest IL 60429-2082. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Brody, Cheryl L can be contacted via phone (708) 799-8700.

Contact Information

Primary practice address
17850 Kedzie Ave Ste 3250 Hazel Crest IL 60429-2082
Phone: (708) 799-8700
Fax: (708) 957-1830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-090559 Illinois

Profile Details

NPI number 1891788691
LBN Legal business name Brody, Cheryl L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Dec 22nd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891788691 NPPES
Illinois Other 060053885 PALMETTO GBA INDIVIDUAL #
Illinois Other 21622931 PALMETTO GBA INDIVIDUAL #
Illinois MEDICAID 036090559 PALMETTO GBA INDIVIDUAL #
Illinois Other CI8250 PALMETTO GBA INDIVIDUAL #

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