Brofman, John D
Brofman, John D is an individual health care provider with primary practice located at 3231 Euclid Ave , Berwyn IL 60402-3471. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Brofman, John D can be contacted via phone (815) 463-8994.Contact Information
Primary practice address
3231 Euclid Ave
Berwyn IL 60402-3471
Phone: (815) 463-8994
Fax: (815) 463-8946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036072874 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036072874 | Illinois |
Profile Details
| NPI number | 1023190063 |
|---|---|
| LBN Legal business name | Brofman, John D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Jun 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023190063 | NPPES |
| Illinois | MEDICAID | 036072874 | |
| Illinois | Other | P00061472 | |
| Illinois | Other | 36072874 |
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