Brusca, Michael A
Brusca, Michael A is an individual health care provider with primary practice located at 10735 W 159Th Street , Orland Park IL 60467. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Brusca, Michael A can be contacted via phone (708) 873-7775.Contact Information
Primary practice address
10735 W 159Th Street
Orland Park IL 60467
Phone: (708) 873-7775
Fax: (708) 873-0192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036086269 | Illinois |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036086269 | Illinois |
Profile Details
| NPI number | 1881605830 |
|---|---|
| LBN Legal business name | Brusca, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Aug 4th, 2023 - about last year |
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 | 1881605830 | NPPES |
| Illinois | MEDICAID | 036086269 |
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