Individual
ALLA BRODECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9933 LAWLER AVE STE 520, STE 520, SKOKIE, IL 60077-3724
(847) 763-1775
(847) 763-7375
Mailing address
9933 LAWLER AVE, STE 520, SKOKIE, IL 60077
(847) 763-1775
(847) 763-7375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036095541
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095541
—
IL
Enumeration date
06/03/2006
Last updated
10/02/2012
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