Bissonnette, Bruce Marc

Bissonnette, Bruce Marc is an individual health care provider with primary practice located at 5841 S Maryland Ave Mc 4076 M-410, Chicago IL 60637-1447. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bissonnette, Bruce Marc can be contacted via phone (773) 702-8597.

Contact Information

Primary practice address
5841 S Maryland Ave Mc 4076 M-410 Chicago IL 60637-1447
Phone: (773) 702-8597
Fax: (773) 702-2182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1255402673
LBN Legal business name Bissonnette, Bruce Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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