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Dr. Nolan Broussard, MD
Emergency Medicine Physician in Chicago, Illinois
NPI 1407475726

Nolan Broussard is a Emergency Medicine Physician based in Chicago, IL. Nolan Broussard practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Nolan Broussard is 1407475726 and holds a License No. PTL1734 (Illinois).

The current practice location address for Nolan Broussard is 5841 S Maryland Ave # 5068, Chicago, IL and can be reached out via phone at 773-702-9109.

Location: 5841 S Maryland Ave # 5068, Chicago, IL, 60637-1443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407475726
Provider Name
Nolan Broussard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5841 S Maryland Ave # 5068, Chicago, IL, 60637-1443
Phone Number
773-702-9109
Fax Number
Provider Enumeration Date
04/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5841 S Maryland Ave # 5068
City
Chicago
State
Illinois
Zip
60637-1443
Phone Number
773-702-9109
Fax Number
person
Provider Business Mailing Address Details
Address
5841 S Maryland Ave # 5068
City
Chicago
State
Illinois
Zip
60637-1443
Phone Number
773-702-9109
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
()
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PTL1734 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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