Kelly M Broederdorf, REGISTEREDNURSE
Kelly M Broederdorf, REGISTEREDNURSE is a Nurse Practitioner in Woodstock, Illinois. Qualified in 2022, 4 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.
- Years since qualifying
- 4
- Licensed in
- IL
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
3707 Doty Rd Ste CanddWoodstock, IL 60098-7530
Phone: (815) 338-6600
Fax: (815) 206-1086
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 100 Village Grn Ste 120, Lincolnshire, IL 60069-3095 — (847) 634-1766
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 209027210 (IL) |
|---|---|
| Oncology Registered Nurse | Taxonomy 163WX0200X · Licence 041.387373 (IL) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 209-027210 (IL) |
Record details
| NPI number | 1952023459 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | REGISTEREDNURSE |
| Sole proprietor | No |
| NPI enumerated | September 13, 2022 |
| Last updated in NPPES | June 10, 2024 |
| Certification date | June 10, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Central Dupage Physician Group — 1094 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |