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DR. NADINE BRODALA DDS, MS, DMD
NPI 1417005109
Dentist in Chicago, IL

Active since January 08, 2007PECOS Enrolled
25 E WASHINGTON ST, 1125, CHICAGO, IL 60602(312) 641-2572 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nadine Brodala Dds, Ms, Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NADINE BRODALA DDS, MS, DMD (NPI 1417005109) is an individual dentist in Chicago, Illinois, licensed in Illinois (019028809) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417005109
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. NADINE BRODALACredential: DDS, MS, DMD
Location Address25 E WASHINGTON ST, 1125Chicago, IL 60602-1708
Mailing Address25 E Washington St, 1125Chicago, IL 60602-1708 · (312) 641-2572
Phone(312) 641-2572
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateAugust 19, 2011
✔ NPI 1417005109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019028809
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 0048 (NC), DE9503 (WA)
25 E WASHINGTON ST, Chicago, IL 60602
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nadine Brodala Dds, Ms, Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAYMOND S BELMONTE M.D.
Anesthesiology
25 E WASHINGTON ST, SUITE 300
CHICAGO, IL 60602
Cook County (312) 726-3329
WATCH HILL THERAPY
Marriage & Family Therapist
25 E WASHINGTON ST, SUITE 1808
CHICAGO, IL 60602
Cook County (312) 725-6136
NYIA HAWKINS
Counselor (Mental Health)
25 E WASHINGTON ST
CHICAGO, IL 60602
Cook County (312) 690-7293
RHELLA DOLETINA PT
Physical Therapist (Orthopedic)
25 E WASHINGTON ST, SUITE 1310
CHICAGO, IL 60602
Cook County (312) 855-1711
PATRICIA GILLERAN DDS PC
Dentist (General Practice)
25 E WASHINGTON ST, SUITE 1101
CHICAGO, IL 60602
Cook County (312) 368-8771
SEAN COMERFORD DC
Chiropractor
25 E WASHINGTON ST, SUITE #1727
CHICAGO, IL 60602
Cook County (312) 795-1525
SARA G DESAI LCSW
Social Worker (Clinical)
25 E WASHINGTON ST, SUITE 826
CHICAGO, IL 60602
Cook County (773) 834-9180
DERMATOLOGY-CHICAGO S C
Dermatology
25 E WASHINGTON ST, SUITE 1131
CHICAGO, IL 60602
Cook County (312) 372-0150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nadine Brodala's NPI number?

The NPI number for Nadine Brodala is 1417005109. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Nadine Brodala located?

Nadine Brodala practices at 25 E Washington St 1125, Chicago, IL 60602. The listed phone number is (312) 641-2572.

What is Nadine Brodala's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Nadine Brodala enrolled in Medicare?

Yes. Nadine Brodala is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nadine Brodala was last updated on August 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.