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
Directions in Google Maps · Apple Maps · OpenStreetMap
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 |
Medicare patients and services, 2024
| Medicare patients | 177 |
|---|---|
| Services billed | 434 |
| Average patient age | 72 |
Practises at
- Northwestern Lake Forest Hospital Hospital · Lake Forest, IL
- Northwestern Medicine Central Dupage Hospital Hospital · Winfield, IL
- Northwestern Medicine McHenry Hospital · McHenry, IL
- Home Care Experts Home health agency · Burr Ridge, IL
Colleagues at Central Dupage Physician Group
- Lina Avizienis, APRN Nurse Practitioner · Palos Heights, IL
- Vineel Bezawada, MD Critical Care Medicine (Internal Medicine) Physician · Dekalb, IL
- Alina Waqar Cheema, DO Student in an Organized Health Care Education/Training Program · Bloomingdale, IL
- Dr. Nicole A. Cho, MD Internal Medicine Physician · Palos Heights, IL
- Robin L Cohen, MD Physical Medicine & Rehabilitation Physician · Wheaton, IL
- Dr. Satish P Gowda, MD Internal Medicine Physician · McHenry, IL
- Dr. Marissa C Jama, DO Internal Medicine Physician · St Charles, IL
- Alexa Moriah King, MD Internal Medicine Physician · Chicago, IL
- Dr. Jared Ko, MD Internal Medicine Physician · Huntley, IL
- Sandra Lee Mulcrone, CNM, APRN, MS Advanced Practice Midwife · Orland Park, IL
- Rakhi Shah, DO Obstetrics Physician · Geneva, IL
- Dr. Da Young Song, MD Internal Medicine Physician · Mokena, IL