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NPI Code Detail

MEDICARE: DR. DAVID M BROTTMAN M.D.

MEDICARE: DR. DAVID M BROTTMAN M.D.
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
1208000000XPediatrics Physician036079960IL

General Provider Information

NPI Number : 1134186497
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID M BROTTMAN M.D.
Provider Business Mailing Address
First Line : 3325 N ARLINGTON HEIGHTS RD
Second Line : SUITE 100A
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1582
Country : US
Telephone Number : 847-398-0400
Fax Number : 847-398-9590
Provider Business Practice Location Address
First Line : 3325 N ARLINGTON HEIGHTS RD
Second Line : SUITE 100A
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1582
Country : US
Telephone Number : 847-398-0400
Fax Number : 847-398-9590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2006
Last Update Date : 04/30/2008

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