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
Fax: (630) 566-6879
Website:

Health care specialties

SpecialtyCodeLicense #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 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396728978 NPPES
Illinois Other 01621679 BCBS OF IL

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