Individual
RUDEL BROCES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1437 W MONTROSE AVE, CHICAGO, IL 60613-1348
(773) 680-7775
Mailing address
1437 W MONTROSE AVE, CHICAGO, IL 60613-1348
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070016779
IL
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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