NPIMap

Organization Active NPI

Monique Brotman, D.O. LLC

  • Obstetrics & Gynecology Physician
  • Oak Park, IL
National Provider Identifier
1396151130
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
336070734 Issued in IL
Legal business name
MONIQUE BROTMAN, D.O. LLC
Practice address
1010 Lake St
Suite 507
Oak Park, IL 60301-1147
Phone
(708) 434-4075
NPI assigned
Jul 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Dr. Monique Brotman, D.O.
Title
Dr/Owner
Phone
(708) 434-4075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 336070734 IL Primary

Addresses

Primary practice location

1010 Lake St
Suite 507
Oak Park, IL 60301-1147

Mailing address

1010 Lake St
Suite 507
Oak Park, IL 60301-1147
Phone (708) 434-4075

National Provider Directory

National Provider Directory

Locations

1010 Lake St
Ste 507
Oak Park, IL 60301
Phone (708) 434-4075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1396151130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST",
            "address_2": "SUITE 507",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011147",
            "telephone_number": "708-434-4075",
            "fax_number": "708-434-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST",
            "address_2": "SUITE 507",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011147",
            "telephone_number": "708-434-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIQUE BROTMAN, D.O. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "BROTMAN",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "708-434-4075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "336070734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.