Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mitchell James Broderick, RPH

Individual provider Pharmacist · NPI 1316559990

Dr. Mitchell James Broderick, RPH is a Pharmacist in Oak Lawn, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

4440 W 95th St Ste 201P
Oak Lawn, IL 60453-2600
Phone: (708) 857-1935
Fax: (708) 857-1965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051.300912 (IL)

Record details

NPI number1316559990
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedAugust 17, 2020
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020
Mailing address4440 W 95th St Ste 201p, Oak Lawn, IL 60453-2600

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