SearchIllinois207RC0001X

Michael Broman, M.D., PH.D

NPI 1538354600 · on the registry since 2007

Practice

Address
1405 W Park St Ste 201
Urbana, IL 61801
Phone
(773) 702-2686
Fax
(217) 337-3240
Organisation at this address
Renal Research Institute, Llc
Reynaldo E Tirona, M.D,, Ltd.
Raine Center For Plastic Surgery, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Additional practice sites

  • 180 Harvester Dr, Burr Ridge, IL
  • 1000 Health Center Dr, Mattoon, IL

Registry record

Primary taxonomy
207RC0001X
207RC0001X
Also registered as
207R00000X
207RC0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-04

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