Individual
DR. NOLAN BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5354
(708) 684-1028
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1443
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036169908
IL
207P00000X
Emergency Medicine Physician
PTL1734
CA
Other
Enumeration date
04/16/2020
Last updated
08/13/2024
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