SearchIllinois1223X0400X

Richard Brochu, DDS

NPI 1265577514 · on the registry since 2007 · sole proprietor

Practice

Address
1105 W Park Ave
Suite 4
Libertyville, IL 60048
Phone
(847) 367-7150
Fax
(847) 362-5968
Organisation at this address
Richard P Weber Psy.D.
Jennifer S Lonosky Psyd
Gastroenterologists Ltd
Amg Endoscopy Center Ltd
Advantage Anesthesia P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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