IndividualActive
Brooke Middendorf, CDA
NPI 1346839263 · Dental Assistant · Clarendon Hills, IL
Provider details
- NPI number
- 1346839263
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- CDA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1179030 (IL)
Mailing address
433 Ogden Ave
Clarendon Hills, IL 60514-2814
Registry dates
- Enumerated
- 2021-01-14
- Last updated
- 2021-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.