NPI
Kierra La Shawn Bruno-Rodgers
NPI 1073080909
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2018-10-29
- Last updated
- 2018-10-30
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Specialties
Licenses
- License IL
- 238000612
Location
- Practice location
- 712 N Dearborn St
- City
- Chicago IL
- Postal code
- 60654-3846
- Phone
- (708) 692-0728
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Chicago, IL. 81,186 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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