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

Individual provider Acupuncturist · NPI 1902164866

Kathleen Broderick, LAC is an Acupuncturist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2012
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

11840 S Western Ave
Chicago, IL 60643-4734
Phone: (773) 233-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 198.000044 (IL)

Record details

NPI number1902164866
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedApril 30, 2012
Last updated in NPPESApril 30, 2012

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