DR. MERRICK JAY BROMBERG D.O.
NPI 1659481778
Pediatrics in Addison, IL

Active since August 30, 2006
303 W LAKE ST, SUITE 102, ADDISON, IL 60101(630) 543-3020(630) 543-1551 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Merrick Jay Bromberg D.o. NPPES

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

DR. MERRICK JAY BROMBERG D.O. (NPI 1659481778) is an individual pediatrics provider in Addison, Illinois, licensed in Illinois (036-060761) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1659481778
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MERRICK JAY BROMBERGCredential: D.O.
Location Address303 W LAKE ST, SUITE 102Addison, IL 60101-2586
Mailing Address303 W Lake St, Suite 102Addison, IL 60101-2586 · (630) 543-3020 · Fax (630) 543-1551
Fax(630) 543-1551
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1659481778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IL · 036-060761
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

303 W LAKE ST, Addison, IL 60101

Other Identifiers 1

Medicaid036060761IL

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.

Internal Medicine
303 W LAKE ST, SUITE 206
ADDISON, IL 60101
Internal Medicine (Gastroenterology)
303 W LAKE ST, STE. 205
ADDISON, IL 60101
Specialist
303 W LAKE ST, #201
ADDISON, IL 60101
Clinic/Center
303 W LAKE ST, SUITE 206
ADDISON, IL 60101
Counselor (Professional)
303 W LAKE ST
ADDISON, IL 60101
Pediatrics
303 W LAKE ST, SUITE 102
ADDISON, IL 60101
Social Worker (Clinical)
303 W LAKE ST
ADDISON, IL 60101
Internal Medicine
303 W LAKE ST, SUITE 200
ADDISON, IL 60101

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 Merrick Bromberg's NPI number?

The NPI number for Merrick Bromberg is 1659481778. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Merrick Bromberg located?

Merrick Bromberg practices at 303 W Lake St Suite 102, Addison, IL 60101. The listed phone number is (630) 543-3020.

What is Merrick Bromberg's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Merrick Bromberg was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.