Individual
DR. DAVID BROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806
(312) 563-7473
Mailing address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036.152848
IL
Other
Enumeration date
03/29/2017
Last updated
07/13/2020
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