Patricia A Brossard, D.C.
Individual provider Active NPI Chiropractor · N Barrington, IL
NPI 1750487526 · NPPES record last updated Jun 18, 2012
Key facts
- NPI
- 1750487526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038-005836 (IL)
- Practice address
- 110 S Wynstone Park Dr
Suite 105
N Barrington, IL 60010-6979 - Phone
- (847) 540-6060
- Fax
- (847) 277-8012
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-005836 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Menner Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-005836 | IL | Yes |
Addresses
Primary practice location
110 S Wynstone Park Dr
Suite 105
N Barrington, IL 60010-6979
Mailing address
3907 Farmington LN
Johnsburg, IL 60051-5175
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024949396 | Other | IL | BCBS PROVIDER # |
Other providers in N Barrington, IL
- Sonia Beranich
- Michele Bourdage
- Brauch Family Chiropractic
- Jennifer Marie Brauch
- Alan David Broering
- Janet Hilary Century
- Robert W. Davis
- Ease in the House Dba @Ease
- Janet Century DDS LTD
- Deborah Chisholm Karas
All providers in N Barrington, IL · Chiropractor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2012. 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.