Individual
JOEL BRONSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
BF 4649604-B 617
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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