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Matthew Scott Brodhead, MD
Student in an Organized Health Care Education/Training Program in Maywood, Illinois
NPI 1427751379

Matthew Scott Brodhead is a Student in an Organized Health Care Education/Training Program based in Maywood, IL. Matthew Scott Brodhead practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Matthew Scott Brodhead is 1427751379 and holds a License No. 125081439 (Illinois).

The current practice location address for Matthew Scott Brodhead is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 715-892-0495.

Location: 2160 S 1St Ave, Maywood, IL, 60153-3328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427751379
Provider Name
Matthew Scott Brodhead
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 60153-3328
Phone Number
715-892-0495
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
715-892-0495
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
715-892-0495
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
()
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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.
125081439 (Illinois)
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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