Broutman, Laurie Gwen

Broutman, Laurie Gwen is an individual health care provider with primary practice located at 3333 Green Bay Rd , North Chicago IL 60064-3037. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Broutman, Laurie Gwen can be contacted via phone (847) 578-8530.

Contact Information

Primary practice address
3333 Green Bay Rd North Chicago IL 60064-3037
Phone: (847) 578-8530
Fax: (847) 578-1019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1699821710
LBN Legal business name Broutman, Laurie Gwen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 18 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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