Brukasz, Peter
Brukasz, Peter is an sole proprietor health care provider with primary practice located at 10510 S Roberts Rd , Palos Hills IL 60465-1934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as his primary health care specialty. Brukasz, Peter can be contacted via phone (630) 401-7102.Contact Information
Primary practice address
10510 S Roberts Rd
Palos Hills IL 60465-1934
Phone: (630) 401-7102
Fax: (630) 566-6879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 036111722 | Illinois |
Profile Details
| NPI number | 1396728978 |
|---|---|
| LBN Legal business name | Brukasz, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Jan 3rd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396728978 | NPPES |
| Illinois | Other | 01621679 | BCBS OF IL |
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