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Byron Broderick, PTA
NPI 1598272999 · on the registry since 2018
Practice
- Address
- 1921 W Irving Park Rd
Chicago, IL 60613 - Phone
- (773) 687-9442
- Clinicians at this address
- 101
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-16
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