Brockstein, Bruce Earl
Brockstein, Bruce Earl is an individual health care provider with primary practice located at 2650 Ridge Ave Kellogg Cancer Center, Evanston IL 60201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Brockstein, Bruce Earl can be contacted via phone (847) 570-2112.Contact Information
Primary practice address
2650 Ridge Ave Kellogg Cancer Center
Evanston IL 60201
Phone: (847) 570-2112
Fax: (847) 570-1041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 036086058 | Illinois |
Profile Details
| NPI number | 1740349695 |
|---|---|
| LBN Legal business name | Brockstein, Bruce Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2006 |
| Last updated | Oct 13th, 2020 - about 4 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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