Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRODY DAVID ILSTRUP
ActiveBRODY DAVID ILSTRUP is a Student (Health Education/Training) healthcare provider located in KENOSHA, Wisconsin. NPI 1578129102 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · KENOSHA, WI
Registration Details
- NPI Number
- 1578129102
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2019 (7.20319191175 yrs)
- Last Updated
- May 20, 2019
Practice Information
- Address
-
2001 ALFORD PARK DRKENOSHA, WI, 531401927Browse WI providers · Browse ZIP 53140
- Phone
- 6128658656
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA MARIE ZHANG | — | 1346504495 |
| BECKA OWENS | — | 1346637055 |
| NICHOLAS MASYGA | — | 1629432950 |
| DANIEL MESSINA | — | 1629504329 |
| SAMANTHA CAPUTO | — | 1013443514 |
| COURTNEY GLASSMAN | — | 1396271888 |
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.