Brunner, Michael

Brunner, Michael is an individual health care provider with primary practice located at 1041 W Stearns Rd , Bartlett IL 60103-4509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Brunner, Michael can be contacted via phone (630) 716-7500.

Contact Information

Primary practice address
1041 W Stearns Rd Bartlett IL 60103-4509
Phone: (630) 716-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.133928 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 125055948 Illinois

Profile Details

NPI number 1215166319
LBN Legal business name Brunner, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2009
Last updated Mar 11th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215166319 NPPES
Illinois Other 125055948 STATE LICENSE

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