Individual provider Active NPI

Valerie Brostrom, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Evanston, IL
National Provider Identifier
1285894782
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
036128344 Issued in IL
Practice address
355 Ridge Ave
Evanston, IL 60202-3328
Phone
(847) 316-2284
Fax
(847) 316-2943
NPI assigned
Jun 10, 2008
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036128344 IL Primary

Addresses

Primary practice location

355 Ridge Ave
Evanston, IL 60202-3328

Mailing address

Dept 77-9277
Chicago, IL 60678-9277
Phone (847) 316-2284

Other practice location 1

251 E Huron St Ste 7-325
Chicago, IL 60611-2908
Phone (312) 926-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151208001288 IL Practitioner - Pathology 4284872151 Reassigns benefits to 2 organizations
I20250328002331 IA Practitioner - Pathology 4284872151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Chicago, Pritzker School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goldfinch Laboratory PCGroup PAC ID 8123497211, 5 clinicians

Practice addresses (Care Compare)

251 E Huron
Chicago, IL 60611-2908

251 E Huron St
Chicago, IL 60611-2908

4637 121St St
Urbandale, IA 50323-2311
Phone (515) 655-7080

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Pathology Consultants, S.C. Anatomic Pathology & Clinical Pathology CurrentSince May 4, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2025 Accepting new patients
Goldfinch Laboratory, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Mar 19, 2025 Accepting new patients
Thorek Radiology Group NFP Current Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

4637 121st St
Urbandale, IA 50323
Phone (515) 655-7080

Dept 5777
Carol Stream, IL 60122

251 E Huron St
Ste 7325
Chicago, IL 60611
Phone (312) 926-3211

2741 Paysphere Cir
Chicago, IL 60674

355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

5700 Southwyck Blvd
Toledo, OH 43614

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1285894782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 77-9277",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606789277",
            "telephone_number": "847-316-2284",
            "fax_number": "847-316-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023328",
            "telephone_number": "847-316-2284",
            "fax_number": "847-316-2943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 E Huron St Ste 7-325",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112908",
            "country_code": "US",
            "telephone_number": "312-926-3211",
            "fax_number": "312-926-3127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSTROM",
        "first_name": "VALERIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036128344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.