Brodsky Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036103935 Issued in IL

Legal business name

BRODSKY DERMATOLOGY PLLC

Practice address

1655 N Arlington Heights Rd
Suite 203E
Arlington HTS, IL 60004-3982

Phone

(847) 590-1500

Fax

(847) 590-1502

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Amy Lynn Brodsky, MD

Title

MD

Phone

(847) 590-1500

Specialties & licenses 1

Addresses

Other names 1

• AMY LYNN BRODSKY MBR Doing business as

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1962553867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 COMPASS RD",
            "address_2": "SUITE 125",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268077",
            "telephone_number": "847-590-1500",
            "fax_number": "874-590-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 203E",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600043982",
            "telephone_number": "847-590-1500",
            "fax_number": "847-590-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRODSKY DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "BRODSKY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "847-590-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036103935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMY LYNN BRODSKY MBR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMY LYNN BRODSKY MBR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Louise Becker, DDS
• Melanie Belarmino, LPC
• Steven Michael Besefske, LCSW
• Karen Manning Bogdan
• Karen Boyle, BCBA
• Lynda Jean Brown, M.S., L.C.P.C.
• Gail G. Bryant, MD
• Beata Brzezinska
• Dariusz Brzezinski, D.C.
• James Robert Buchholz, LCSW

• All providers in Arlington HTS, IL
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.