Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATT BRODIE, ATC
Active Sole ProprietorMATT BRODIE, ATC is a Specialist/Technologist, Surgical healthcare provider located in LISLE, Illinois. NPI 1336545656 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · LISLE, IL
Registration Details
- NPI Number
- 1336545656
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 13, 2014 (11.728497932144 yrs)
- Last Updated
- Nov 13, 2014
- License
-
096003519 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5381 BURR OAK RDLISLE, IL, 605322107Browse IL providers · Browse ZIP 60532
- Phone
- 6188064264
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.