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

Kierra La Shawn Bruno-Rodgers

Individual provider Surgical Technologist · NPI 1073080909

Kierra La Shawn Bruno-Rodgers is a Surgical Technologist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
Specialties on file
2

Practice location Address checks out

712 N Dearborn St
Chicago, IL 60654-3846
Phone: (708) 692-0728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 238000612 (IL)

Record details

NPI number1073080909
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 29, 2018
Last updated in NPPESOctober 30, 2018

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