Organization
BRODECH MEDICAL ASSOCIATES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER BRODECH M.D. (PRESIDENT)
(773) 772-9121
Entity
Organization
Contact information
Practice address
809 N WESTERN AVE, CHICAGO, IL 60622-4637
(773) 772-9121
(773) 772-3939
Mailing address
809 N WESTERN AVE, CHICAGO, IL 60622-4637
(773) 772-9121
(773) 772-3939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001618699
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/04/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us