Individual
KELLY M BROEDERDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3707 DOTY RD STE CANDD, WOODSTOCK, IL 60098-7530
(815) 338-6600
(815) 206-1086
Mailing address
3707 DOTY RD STE CANDD, WOODSTOCK, IL 60098-7530
(815) 338-6600
(815) 206-1086
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
041.387373
IL
363L00000X
Nurse Practitioner
Primary
209027210
IL
363LF0000X
Family Nurse Practitioner
209-027210
IL
Other
Enumeration date
09/13/2022
Last updated
06/10/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us