Brody, Russell M

Brody, Russell M is an individual health care provider with primary practice located at 1544 Shermer Rd , Northbrook IL 60062-5347. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brody, Russell M can be contacted via phone (847) 498-4770.

Contact Information

Primary practice address
1544 Shermer Rd Northbrook IL 60062-5347
Fax: (847) 498-6909
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-009251 Illinois

Profile Details

NPI number 1982711354
LBN Legal business name Brody, Russell M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Aug 26th, 2022 - 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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