SearchIllinois1223G0001X

Timothy Brouder, D.D.S

NPI 1790824167 · on the registry since 2007 · sole proprietor

Practice

Address
207 S Emerson St
Mt Prospect, IL 60056
Phone
(847) 577-0199

Registry record

Primary taxonomy
1223G0001X
1223G0001X
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