MEDICARE: MRS. CATHERINE MURPHY BRODNER M.S. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist		IL

General Provider Information

NPI Number	:	1962601591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CATHERINE MURPHY BRODNER M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	4420 N RICHMOND ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3824
Country	:	US
Telephone Number	:	773-539-1773
Fax Number	:

Provider Business Practice Location Address
First Line	:	4420 N. RIDHMOND ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3824
Country	:	US
Telephone Number	:	773-539-1773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2007
Last Update Date	:	07/13/2007

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Directions to “ MRS. CATHERINE MURPHY BRODNER M.S. CCC-SLP” Practice Location

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