Kierra La Shawn Bruno-Rodgers
Sports Medicine Orthopaedic Surgeon
712 N Dearborn St
Chicago
, Illinois 60654-3846
Kierra La Shawn Bruno-Rodgers
Sports Medicine Orthopaedic Surgeon
712 N Dearborn St
Chicago
, Illinois 60654-3846
(708) 692-0728
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Kierra La Shawn Bruno-Rodgers
- 420 Winston Ln
- Chicago Heights, IL
- Zip : 60411-1620
- Phone : (708) 692-0728
Second Address
- Kierra La Shawn Bruno-Rodgers
- 712 N Dearborn St
- Chicago, IL
- Zip : 60654-3846
- Phone : (708) 692-0728
Reviews
FAQs
Where did Kierra La Shawn Bruno-Rodgers attend graduate school?
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In what state does Kierra La Shawn Bruno-Rodgers practice in?
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What is Kierra La Shawn Bruno-Rodgers ’s gender?
Is Kierra La Shawn Bruno-Rodgers a sole practitioner?
Is Kierra La Shawn Bruno-Rodgers accepting new patients?
What languages does Kierra La Shawn Bruno-Rodgers speak?
Does Kierra La Shawn Bruno-Rodgers accept insurance?
Does Kierra La Shawn Bruno-Rodgers offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 238000612 | IL |
National Provider Identifier
| NPI | 1073080909 |
|---|---|
| Provider Name | Kierra La Shawn Bruno-Rodgers |
| First Address | Chicago Heights, IL 60411-1620 |
| Second Address | Chicago, IL 60654-3846 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/10/2018 |
| Last Update Date | 30/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 238000612 | REGISTERED SURGICAL ASSISTANT (01) | 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.