NPI 1073080909

Kierra La Shawn Bruno-Rodgers

Practitioner Surgical Technologist Chicago, IL

Practice location

Address: 712 N Dearborn St, Chicago, IL 60654-3846
Phone: (708) 692-0728
Mailing address: 420 Winston Ln, Chicago Heights, IL 60411-1620

Registered specialties (2)

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Other Specialist/Technologist, Other providers in Illinois →

Sports Medicine (Orthopaedic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence 238000612 (IL)

Other Orthopaedic Surgery providers in Illinois →

Registry record

NPI: 1073080909
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Oct 2018
Record last updated: 30 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.