Amy L Brodsky
Procedural Dermatology
2601 Compass Rd Ste 125
Glenview
, Illinois 60026-8089
Amy L Brodsky
Procedural Dermatology
2601 Compass Rd Ste 125
Glenview
, Illinois 60026-8089
(920) 684-1439
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Amy L Brodsky
- 801 York St
- Manitowoc, WI
- Zip : 54220-4630
- Fax : (920) 684-1439
- Phone : (920) 663-9008
Second Address
- Amy L Brodsky
- 2601 Compass Rd Ste 125
- Glenview, IL
- Zip : 60026-8089
- Fax : (847) 998-8631
- Phone : (847) 843-3376
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | 036-103935 | IL |
National Provider Identifier
| NPI | 1205825056 |
|---|---|
| Provider Name | Amy L Brodsky |
| First Address | Manitowoc, WI 54220-4630 |
| Second Address | Glenview, IL 60026-8089 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2005 |
| Last Update Date | 08/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H57623 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.