Individual
VICTORIA A BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
Mailing address
3270 N LAKE SHORE DR APT 14C, CHICAGO, IL 60657-3970
(440) 781-3363
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
214000318
IL
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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