Matthew Brod, RN
Individual provider Active NPI Registered Nurse · Rosemont, IL
NPI 1710848411 · NPPES record last updated Nov 21, 2025
Key facts
- NPI
- 1710848411
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 41517592 (IL)
- Practice address
- 6400 Shafer CT
Rosemont, IL 60018-4914 - Phone
- (847) 759-9449
- NPI assigned
- Nov 21, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41517592 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 41517592 | IL | Yes |
Addresses
Primary practice location
6400 Shafer CT
Rosemont, IL 60018-4914
Mailing address
3517 N Plainfield Ave
Chicago, IL 60634-2845
Phone (773) 816-9512
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All providers in Rosemont, IL · Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.