Individual
DR. PETER W. BROIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 N. CANAL STREET, UNIT 3504, CHICAGO, IL 60606-1543
(312) 575-8512
(312) 575-8513
Mailing address
333 N. CANAL STREET, UNIT 3504, CHICAGO, IL 60606-1543
(312) 575-8512
(312) 575-8513
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036042407
IL
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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