KATHLEEN BRODERICK LAC
NPI 1902164866
Acupuncturist in Chicago, IL

Active since April 30, 2012
11840 S WESTERN AVE, CHICAGO, IL 60643(773) 233-9000 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Broderick Lac NPPES

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

KATHLEEN BRODERICK LAC (NPI 1902164866) is an individual acupuncturist in Chicago, Illinois, licensed in Illinois (198.000044) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1902164866
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameKATHLEEN BRODERICKCredential: LAC
Location Address11840 S WESTERN AVEChicago, IL 60643-4734
Mailing Address11840 S Western AveChicago, IL 60643-4734 · (773) 233-9000
Sole ProprietorYes
Enumeration DateApril 30, 2012
NPI 1902164866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in IL · 198.000044
Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

11840 S WESTERN AVE, Chicago, IL 60643

Other Providers at the Same Location NPPES 2

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

Acupuncturist
11840 S WESTERN AVE
CHICAGO, IL 60643
Acupuncturist
11840 S WESTERN AVE
CHICAGO, IL 60643

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 Kathleen Broderick's NPI number?

The NPI number for Kathleen Broderick is 1902164866. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Kathleen Broderick located?

Kathleen Broderick practices at 11840 S Western Ave, Chicago, IL 60643. The listed phone number is (773) 233-9000.

What is Kathleen Broderick's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Kathleen Broderick was last updated on April 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.