Brogadir, Robert K

Brogadir, Robert K is an sole proprietor health care provider with primary practice located at 1306 Madison Dr , Buffalo Grove IL 60089-6826. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Brogadir, Robert K can be contacted via phone (847) 634-3348.

Contact Information

Primary practice address
1306 Madison Dr Buffalo Grove IL 60089-6826
Fax: (847) 634-6882
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X Illinois

Profile Details

NPI number 1417970724
LBN Legal business name Brogadir, Robert K
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417970724 NPPES
Illinois Other 60001331 BLUE CROSS- BLUE SHIELD

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