Individual provider · Type 1 NPI
Matt Brodie, ATC
Other Specialist/Technologist · Lisle, IL
NPI number
1336545656
Active
Practice location
5381 Burr Oak Rd
Lisle, IL 60532-2107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | 096003519 (IL) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
About NPI 1336545656
Matt Brodie, ATC's National Provider Identifier is 1336545656, issued on Nov 13, 2014. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Lisle, IL. The record was last updated on Nov 13, 2014.