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BRODY DAVID ILSTRUP
NPI 1578129102
Student in an Organized Health Care Education/Training Program in Kenosha, WI

Active since May 20, 2019
2001 ALFORD PARK DR, KENOSHA, WI 53140(612) 865-8656 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brody David Ilstrup NPPES

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

BRODY DAVID ILSTRUP (NPI 1578129102) is an individual student in an organized health care education/training program in Kenosha, Wisconsin and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1578129102
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRODY DAVID ILSTRUP
Location Address2001 ALFORD PARK DRKenosha, WI 53140-1927
Mailing Address2001 Alford Park DrKenosha, WI 53140-1927
Phone(612) 865-8656
Sole ProprietorNo
Enumeration DateMay 20, 2019
✔ NPI 1578129102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2001 ALFORD PARK DR, Kenosha, WI 53140
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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.

MEGAN ELIZABETH MAHLKUCH
Specialist/Technologist (Athletic Trainer)
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (608) 636-6324
SAMANTHA CAPUTO
Student in an Organized Health Care Education/Training Program
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (847) 909-1879
MARY KENNEDY MCCARTHY
Student in an Organized Health Care Education/Training Program
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (630) 624-6431
KATHRYN CRAMER
Student in an Organized Health Care Education/Training Program
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (262) 551-8500
FRANK ESPOSITO
Student in an Organized Health Care Education/Training Program
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (630) 200-9517
THOMAS JOSEPH GREEN III
Student in an Organized Health Care Education/Training Program
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (574) 910-0586
ASHLEY GREENWOOD LAT
Specialist/Technologist (Athletic Trainer)
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (815) 922-6493
VANESA ACOSTA
Student in an Organized Health Care Education/Training Program
2001 ALFORD PARK DR
KENOSHA, WI 53140
Kenosha County (262) 551-8500

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 Brody Ilstrup's NPI number?

The NPI number for Brody Ilstrup is 1578129102. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Brody Ilstrup located?

Brody Ilstrup practices at 2001 Alford Park Dr, Kenosha, WI 53140. The listed phone number is (612) 865-8656.

What is Brody Ilstrup's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brody Ilstrup was last updated on May 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.