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KAITLIN BRODERICK
NPI 1912407792
Counselor - Professional in Elk Grove Village, IL

Active since February 18, 2018
1047 ARKANSAS DR, ELK GROVE VILLAGE, IL 60007(847) 636-1001 Get Directions Write a Review

NPPES record last updated: February 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaitlin Broderick NPPES

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

KAITLIN BRODERICK (NPI 1912407792) is an individual professional provider in Elk Grove Village, Illinois, licensed in Illinois (180.011457) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1912407792
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAITLIN BRODERICK
Location Address1047 ARKANSAS DRElk Grove Village, IL 60007-2923
Mailing Address1047 Arkansas DrElk Grove Village, IL 60007-2923
Phone(847) 636-1001
Sole ProprietorYes
Enumeration DateFebruary 18, 2018
✔ NPI 1912407792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.011457
1047 ARKANSAS DR, Elk Grove Village, IL 60007
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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 Kaitlin Broderick's NPI number?

The NPI number for Kaitlin Broderick is 1912407792. It was assigned to this individual provider in the NPPES registry on February 18, 2018.

Where is Kaitlin Broderick located?

Kaitlin Broderick practices at 1047 Arkansas Dr, Elk Grove Village, IL 60007. The listed phone number is (847) 636-1001.

What is Kaitlin Broderick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kaitlin Broderick was last updated on February 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.