Kenneth Brocker, DDS
NPI 1184682791 · on the registry since 2006
Practice
- Address
- 3135 W 111th St
Chicago, IL 60655 - Phone
- (773) 238-4451
- Fax
- (773) 238-9561
- Organisation at this address
- Mt. Greenwood Dental Clinic
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois