Individual
RUSSELL M BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1544 SHERMER RD, NORTHBROOK, IL 60062-5347
(847) 498-4770
(847) 498-6909
Mailing address
1544 SHERMER RD, NORTHBROOK, IL 60062-5347
(847) 498-4770
(847) 498-6909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-009251
IL
Other
Enumeration date
08/23/2006
Last updated
08/26/2022
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